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Contact Information

MARK DAVIS, MD
1 INNOVATION DR STE 3
WORCESTER, MA01605-4306
 Phone: 508-793-6290
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for MARK DAVIS · (Male)

NPI Number 1720286370
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2007
Last updated 02/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 9406852
Hospital affiliation(s)
  • BETH ISRAEL DEACONESS MEDICAL CENTER - (Acute Care)
    330 BROOKLINE AVENUE
    BOSTON, MA 02215
  • JORDAN HOSPITAL INC - (Acute Care)
    275 SANDWICH STREET
    PLYMOUTH, MA 02360
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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