Individual
DR. KENNETH JOEL DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
865 OCEAN VIEW DR, TOMS RIVER, NJ 08753-4467
(732) 929-0577
Mailing address
865 OCEAN VIEW DR, TOMS RIVER, NJ 08753-4467
(732) 929-0577
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA01970800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2795108
—
NJ
Enumeration date
01/27/2006
Last updated
11/10/2015
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