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Individual

MR. BRIAN D DAVISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
61 LINCOLN ST, SUITE 115, FRAMINGHAM, MA 01702-8264
(508) 626-8346
Mailing address
PO BOX 9137, BROOKLINE, MA 02446-9137
(800) 927-0002

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
152302
MA
2085R0204X
Vascular & Interventional Radiology Physician
152302
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0133540
MA
Enumeration date
02/02/2006
Last updated
12/14/2009
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