Individual
ANDREA CAROLINA DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
195 CORTLANDT ST, BELLEVILLE, NJ 07109-3128
(973) 759-1221
(973) 759-1997
Mailing address
195 CORTLANDT ST, BELLEVILLE, NJ 07109-3128
(973) 759-1221
(973) 759-1997
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11962300
NJ
207Q00000X
Family Medicine Physician
OT020076
PA
Other
Enumeration date
05/11/2020
Last updated
12/13/2023
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