Healthcare Provider Details

I. General information

NPI: 1124600341
Provider Name (Legal Business Name): ALLISON ELIZABETH DAVIDSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2021
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 N PEARL ST
BROCKTON MA
02301-1794
US

IV. Provider business mailing address

960 MASSACHUSETTS AVE STE 2 FL2
BOSTON MA
02118-2690
US

V. Phone/Fax

Practice location:
  • Phone: 508-427-3075
  • Fax:
Mailing address:
  • Phone: 617-414-5405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number1027971
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: