Davis, Robert

Davis, Robert is an individual health care provider with primary practice located at 1605 E Evesham Rd Ste 100A , Voorhees NJ 08043-1437. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Davis, Robert can be contacted via phone (856) 741-7100.

Contact Information

Primary practice address
1605 E Evesham Rd Ste 100A Voorhees NJ 08043-1437
Phone: (856) 741-7100
Fax: (856) 424-2629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB0570440 New Jersey

Profile Details

NPI number 1720068851
LBN Legal business name Davis, Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jul 12th, 2022 - 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 1720068851 NPPES
New Jersey MEDICAID 5510503

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