Individual
EDWARD T DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3213 NAZARETH RD, PALMER TOWNSHIP, PA 18045-2000
(610) 559-2060
(610) 559-2064
Mailing address
801 OSTRUM ST, ENROLLMENT CENTER, BETHLEHEM, PA 18015-1000
(484) 526-6048
(484) 526-6500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD425243
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011851330002
—
PA
Enumeration date
04/17/2006
Last updated
03/21/2012
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