Individual
DR. IAN JONATHAN DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
157792
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025972
BMC HEALTHNET
—
01
—
204827
HPHC DFCI ONLY
—
01
—
2928020
AETNA US HEALTHCARE
—
05
—
3185753
—
MA
01
—
53255
FALLON COMMUNITY HEALTH P
—
01
—
781010
TUFTS
—
01
—
7863442
CIGNA
—
01
—
J19511
MASSACHUSETTS BLUE CROSS
MA
Enumeration date
03/18/2006
Last updated
07/09/2007
Update your record
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