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Individual

ROBERT CARLTON DAVENPORT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
631B NORTH STREET, PITTSFIELD, MA 01201-4109
(413) 499-2054
(413) 445-9174
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201-4109
(413) 881-5427
(413) 496-6836

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
137462
NY

Other

Enumeration date
09/29/2006
Last updated
10/30/2013
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