Individual
PETER A DAVANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 SPARTA AVE, SPARTA, NJ 07871-1150
(973) 729-8588
Mailing address
940 WEST PORT PLAZA, STE 270, ST LOUIS, MO 63146
(314) 453-0600
(314) 453-0083
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA050074
NJ
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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