Davis, Allen B

Davis, Allen B is an individual health care provider with primary practice located at 736 Cambridge St Cardinal Cushing Pavilion, 6Th Floor, Brighton MA 02135-2907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Davis, Allen B can be contacted via phone (617) 779-6800.

Contact Information

Primary practice address
736 Cambridge St Cardinal Cushing Pavilion, 6Th Floor Brighton MA 02135-2907
Phone: (617) 779-6800
Fax: (617) 779-6883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 39337 Massachusetts

Profile Details

NPI number 1861429003
LBN Legal business name Davis, Allen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jan 20th, 2015 - about 9 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 1861429003 NPPES
Massachusetts MEDICAID 2041022

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