Individual
DR. JAVIER DAVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 AUDUBON ST, SUITE 201, NEW HAVEN, CT 06511-6433
(203) 562-7662
(203) 562-7663
Mailing address
1 AUDUBON ST, SUITE 201, NEW HAVEN, CT 06511-6433
(203) 562-7662
(203) 562-7663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
042733
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
042733
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001427336
—
CT
Enumeration date
06/14/2005
Last updated
08/29/2014
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