Individual
ELANA DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
2 HOSPITAL DR, SUITE 203, HOLYOKE, MA 01040-6632
(413) 540-5048
(413) 540-5049
Mailing address
11 HOSPITAL DR FL 3, HOLYOKE, MA 01040-6601
(413) 535-4757
(413) 535-4758
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1031
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000954
CONNECTICARE OF MA
—
01
—
043202198
CBA
—
Enumeration date
07/26/2005
Last updated
08/16/2019
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