Davila, Javier

Davila, Javier is an sole proprietor health care provider with primary practice located at 1 Audubon St Suite 201, New Haven CT 06511-6433. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Davila, Javier can be contacted via phone (203) 562-7662.

Contact Information

Primary practice address
1 Audubon St Suite 201 New Haven CT 06511-6433
Phone: (203) 562-7662
Fax: (203) 562-7663
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 042733 Connecticut
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 042733 Connecticut

Profile Details

NPI number 1366447732
LBN Legal business name Davila, Javier
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Aug 29th, 2014 - about 11 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 1366447732 NPPES
Connecticut MEDICAID 001427336

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