Individual
LAWRENCE J DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
177 N DEAN ST, SUTIE 207, ENGLEWOOD, NJ 07631-2533
(201) 567-0446
Mailing address
177 N DEAN ST, SUTIE 207, ENGLEWOOD, NJ 07631-2533
(201) 567-0446
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06641900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0K8870
HEALTH NET
NJ
01
—
4122282
CIGNA
NJ
05
—
7449704
—
NJ
01
—
P801198
OXFORD HEALTH
NJ
Enumeration date
11/07/2005
Last updated
11/18/2013
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