Individual
EMILY DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
192 E CENTER ST, MANCHESTER, CT 06040-5210
(860) 649-3243
(860) 649-5092
Mailing address
29 NAEK RD, SUITE 5, VERNON, CT 06066-3942
(860) 872-2289
(860) 896-1425
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003189
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061496224
TAX ID
CT
Enumeration date
10/15/2014
Last updated
10/21/2021
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