Edwin A. Davison, Jr.

NPI #1508001272 in Saratoga Springs, New York

Provider Information

NPI Number
1508001272
Entity Type
Organization
Organization Name
Edwin A. Davison, Jr.
Primary Specialty
Eyewear Supplier
Enumeration Date
Dec 10, 2008
Last Updated
Feb 1, 2010

Practice Location

Address
615 MAPLE AVE
Address 2
STE 3
ZIP Code
12866-5632
Phone
(518) 584-5821

Authorized Official

Name
EDWIN A DAVISON JR.
Title
PHYSICIAN
Phone
(518) 584-5821

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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