Individual
DR. BRIAN J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1203 N HIGH ST, SUITE A, MILLVILLE, NJ 08332-2530
(856) 327-0182
(856) 327-7381
Mailing address
1203 N HIGH ST, SUITE A, MILLVILLE, NJ 08332
(856) 327-0182
(856) 327-7381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB73002
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004944
—
NJ
Enumeration date
06/08/2006
Last updated
08/06/2014
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