Individual
LAWRENCE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
371 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 481-6444
(973) 481-6461
Mailing address
371 CENTRAL AVE, NEWARK, NJ 07103-2842
(973) 481-6444
(973) 481-6461
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1946510
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1946510
—
NJ
Enumeration date
07/03/2008
Last updated
07/03/2008
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