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1104232107
PHILIP DAVIDSON
MOUNT LAUREL, NJ
NPI
1104232107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00339500)
Enumeration Date
2014-07-10
Last Update Date
2023-09-20
Business Address
PHILIP DAVIDSON PA-C
3131 RTE 38
MOUNT LAUREL, NJ 08054-9757
Phone number: 856-866-8700
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Mailing Address
PHILIP DAVIDSON PA-C
3600 ROUTE 66 3RD FL
NEPTUNE, NJ 07753-2645
Phone number:
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