Davis, Carmon J

Davis, Carmon J is an individual health care provider with primary practice located at 300 Longwood Ave Children'S Hospital Boston, Chpcc, Boston MA 02115-5724. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Davis, Carmon J can be contacted via phone (617) 355-7701.

Contact Information

Primary practice address
300 Longwood Ave Children'S Hospital Boston, Chpcc Boston MA 02115-5724
Phone: (617) 355-7701
Fax: (617) 730-0505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 78225 Massachusetts

Profile Details

NPI number 1073622635
LBN Legal business name Davis, Carmon J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Aug 18th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073622635 NPPES
Massachusetts MEDICAID 3125810

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