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PETER A DAVANZO MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PETER A DAVANZO MD (PRESIDENT)
(973) 729-8580
Entity
Organization

Contact information

Practice address
350 SPARTA AVE, SPARTA, NJ 07871-1150
(973) 729-8580
Mailing address
940 WEST PORT PLAZA, STE 270, ST LOUIS, MO 63146
(314) 453-0600
(314) 453-0083

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
08/21/2006
Last updated
08/22/2020
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