Individual
DR. J KENNETH DAVISON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD DDS
Contact information
Practice address
55 FRUIT STREET, GRB 406E, BOSTON, MA 02114-2696
(617) 724-7181
(617) 724-8500
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
38840
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038840
TUFTS HEALTH PLAN
MA
05
—
6175724
—
MA
01
—
C16124
BCBS MA
MA
Enumeration date
11/15/2005
Last updated
07/08/2007
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