Davis, Paul K

Davis, Paul K is an individual health care provider with primary practice located at 1 Brace Road Suite C, Cherry Hill NJ 08034. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Davis, Paul K can be contacted via phone (856) 470-9029.

Contact Information

Primary practice address
1 Brace Road Suite C Cherry Hill NJ 08034
Phone: (856) 470-9029
Fax: (856) 796-9391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X C1-0006563 Delaware
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 25MA09009800 New Jersey

Profile Details

NPI number 1255301552
LBN Legal business name Davis, Paul K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Jun 21st, 2013 - about 12 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 1255301552 NPPES
Other 182454 COVENTRY
MEDICAID 1000016774 COVENTRY
Other E42406 COVENTRY

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