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Contact Information

PATRICIA A DAVIS, MD
65 WALNUT ST
MGH LADDERS
WELLESLEY, MA02481
 Phone: 781-449-6074
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for PATRICIA A DAVIS · (Female)

NPI Number 1144210915
Status Active
Credentials MD
Entity Individual
Enumeration date 10/24/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 77504
  • MA Medicaid 3114422
  • MA Other J14660 BCBS MA
  • MA Other 077504 TUFTS HEALTH PLAN
Hospital affiliation(s) Not Available
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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