Individual
JOSE DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3288
Mailing address
243 CHARLES ST, BOSTON, MA 02114-3002
(617) 573-3288
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
287151
MA
Other
Enumeration date
03/21/2017
Last updated
06/30/2021
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