Individual provider · Type 1 NPI

Michael Joseph Davis, PA-C

Surgical Physician Assistant · Boston, MA

NPI number 1922592930 Active

Practice location

125 Parker Hill Avenue
Boston, MA 02120

Mailing address

167 Hemlock Ridge Rd
Southbury, CT 06488-3227

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1922592930

Michael Joseph Davis, PA-C's National Provider Identifier is 1922592930, issued on Jun 22, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Boston, MA. The record was last updated on Jun 22, 2018.