Individual
DR. PETER EVAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BOSTON CHILDREN'S HOSPITAL, FEGAN 11, BOSTON, MA 02115-5724
(617) 355-8994
Mailing address
300 LONGWOOD AVE, BOSTON CHILDREN'S HOSPITAL, MAILSTOP BCH 3433, BOSTON, MA 02115-5724
(617) 355-8994
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
264940
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2012
Last updated
04/21/2017
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