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NPI Code Detail

MEDICARE: MR. ROBERT DAVIS PT

MEDICARE: MR. ROBERT DAVIS PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistQA 02972NJ

General Provider Information

NPI Number : 1316977739
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT DAVIS PT
Provider Business Mailing Address
First Line : 50 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-4560
Country : US
Telephone Number : 908-755-2111
Fax Number : 908-755-0614
Provider Business Practice Location Address
First Line : 50 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-4560
Country : US
Telephone Number : 908-755-2111
Fax Number : 908-755-0614
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 02/15/2013

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