Individual
MELISSA L. DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, SUITE 301, BURLINGTON, VT 05401-1473
(802) 847-2702
(802) 847-4817
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0420012594
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4590805
—
NJ
Enumeration date
02/22/2007
Last updated
06/10/2013
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