Individual
DR. ROBERT DANIEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2409 MAIN ST, BRIDGEPORT, CT 06606-5324
(203) 334-6955
(203) 334-2851
Mailing address
2409 MAIN ST, BRIDGEPORT, CT 06606-5324
(203) 334-6955
(203) 334-2851
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POO312
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001932
HEALTH NET
—
05
—
004070439
—
CT
01
—
030000312CT02
ANTHEM BLUE SHIELD
—
01
—
1276009002
CIGNA
—
01
—
533669
AETNA
—
01
—
Z5651
OXFORD
—
Enumeration date
11/03/2006
Last updated
10/01/2008
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