Individual
JON DAVISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 N WOLFE ST, ROOM A608, BALTIMORE, MD 21287-0005
(410) 955-3580
Mailing address
PO BOX 64478, ROOM A608, BALTIMORE, MD 21264-4478
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D64489
MD
Other
Enumeration date
05/12/2006
Last updated
05/24/2021
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