Individual
WILLIAM DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12502 WILLOWBROOK RD, CUMBERLAND, MD 21502-6491
(240) 964-8720
Mailing address
305 HOSPITAL DR, SUITE 305 TATE CENTER, GLEN BURNIE, MD 21061-5805
(410) 768-3701
(410) 766-0881
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D14747
MD
207RP1001X
Pulmonary Disease Physician
51208
SC
207RP1001X
Pulmonary Disease Physician
Primary
D14747
MD
208M00000X
Hospitalist Physician
D0014147
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
220031700
—
MD
05
—
512083
—
SC
01
—
J466-0001
CAREFIRST BCBS DC
—
01
—
KY91LU-30866003
CAREFIRST BCBS MD
—
Enumeration date
04/17/2006
Last updated
06/10/2020
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