Individual
SAMUEL DAVIDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 LEXINGTON ST STE 300, WALTHAM, MA 02452-4401
(978) 662-1002
(978) 767-4757
Mailing address
6 LEXINGTON ST, WALTHAM, MA 02452-4401
(978) 662-1002
(978) 767-4757
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2338730
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2338730
MA
Other
Enumeration date
04/13/2023
Last updated
09/09/2025
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