Davis, Michael J

Davis, Michael J is an individual health care provider with primary practice located at 509 N Broad St , Woodbury NJ 08096-1617. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Davis, Michael J can be contacted via phone (856) 845-0100.

Contact Information

Primary practice address
509 N Broad St Woodbury NJ 08096-1617
Phone: (856) 845-0100
Fax: (856) 848-7023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X New Jersey

Profile Details

NPI number 1386639037
LBN Legal business name Davis, Michael J
Credentials D.O. ANESTHESIOLOGIS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Mar 7th, 2023 - about 3 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 1386639037 NPPES
New Jersey MEDICAID 7522100
New Jersey Other D07202200
New Jersey Other 25MB61648

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