Individual
MRS. CARMEN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
1 WORLD 'S FAIR DR., SUITE 2400, SOMERSET, NJ 08873
(732) 235-7688
(732) 235-6568
Mailing address
66 WEST GILBERT ST, RED BANK, NJ 07701
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MP00161500
NJ
Other
Enumeration date
05/18/2007
Last updated
03/21/2008
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