Individual
JEFFREY DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6267
(978) 630-6847
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-6267
(978) 630-6847
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4109
MA
Other
Enumeration date
10/07/2005
Last updated
03/29/2016
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