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Individual

DR. DAVIS VERDE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
622 W 168TH ST PH 5-133, NEW YORK, NY 10032-3720
(212) 305-3226
(212) 305-3204
Mailing address
310 PROSPECT AVE APT 447, HACKENSACK, NJ 07601-7767
(551) 574-2226

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA11412500
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2018
Last updated
06/08/2022
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