Individual
DR. SHANNON AILEEN DAVIDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19107-4414
(215) 955-1085
(215) 955-5041
Mailing address
833 CHESTNUT ST, 1ST FLOOR, PHILADELPHIA, PA 19107-4414
(215) 955-1085
(215) 955-5041
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD454853
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103045751
—
PA
Enumeration date
04/16/2011
Last updated
02/15/2019
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