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Samuel Davis
NPI 1205316965 · on the registry since 2018
Practice
- Address
- 150 South Huntington Avenue
Jamaica Plain, MA 02130 - Phone
- (857) 364-6381
- Organisation at this address
- Boston Cboc
Boston Va Health Care NetworkInferred from a shared address, not stated in the registry. - Clinicians at this address
- 130
Registry record
- Primary taxonomy
- 156F00000X
156F00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-08-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts