Davis, Patricia Ann

Davis, Patricia Ann is an individual health care provider with primary practice located at 65 Walnut St Mgh Ladders, Wellesley MA 02481. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Davis, Patricia Ann can be contacted via phone (781) 449-6074.

Contact Information

Primary practice address
65 Walnut St Mgh Ladders Wellesley MA 02481
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77504 Massachusetts

Profile Details

NPI number 1144210915
LBN Legal business name Davis, Patricia Ann
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1144210915 NPPES
Massachusetts Other 077504 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3114422 TUFTS HEALTH PLAN
Massachusetts Other J14660 TUFTS HEALTH PLAN

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