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Individual

MARC DAVIS GARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1703 S BROAD ST, PHILADELPHIA EYE ASSOCIATES, PHILADELPHIA, PA 19148-1536
(215) 339-8100
(215) 339-8103
Mailing address
1703 S BROAD ST, PHILADELPHIA EYE ASSOCIATES, PHILADELPHIA, PA 19148-1536
(215) 339-8100
(215) 339-8103

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA05338400
NJ
207W00000X
Ophthalmology Physician
Primary
MD02690SE
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
099578
PA
Enumeration date
08/11/2005
Last updated
03/10/2017
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