Matthew Jared Davis MD

NPI 1629238860 - Psychiatry & Neurology - 2084S0012X

NPI Details
NPI 1629238860
Gender Male
Enumeration Date 06/11/2008
Last Updated 01/02/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
107 MONMOUTH RD
#110
WEST LONG BRANCH NJ, 07764-1000, US
Phone (732) 935-1850
Fax
Business Location
107 MONMOUTH RD
#110
WEST LONG BRANCH NJ, 07764-1000, US
Phone
Fax
Toxanomy
Taxonomy Code 2084S0012X
License State New Jersey
License Number 25MA09056000
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According to our database, Matthew Jared Davis MD NPI is 1629238860, taxonomy code is 2084S0012X and license number is 25MA09056000, license state is located at New Jersey. Matthew Jared Davis MD physically located at 107 Monmouth Rd, West Long Branch NJ, 07764-1000. NPI Number Matthew Jared Davis MD has the Individual type.

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1629238860 NPI number is provided on an as is basis without warranty of any kind. 1629238860 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Jared Davis MD are for informational purposes only.