Individual
STEPHEN W DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
299 PROMENADE STREET, NHPRI, PROVIDENCE, RI 02908
(401) 459-6015
Mailing address
211 HORNBINE RD, SWANSEA, MA 02777-3611
(401) 459-6015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48608
MA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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