Individual
DR. GARY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139
(215) 471-2761
Mailing address
5201 HAVERFORD AVE, PHILADELPHIA, PA 19139-1401
(215) 471-2761
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD072320L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101524553
—
PA
Enumeration date
07/18/2006
Last updated
06/11/2019
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