Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MD046790L | PA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD046790L | PA |
NPI | 1831153915 |
---|---|
Provider Name | Matthew F Davies |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033-2086 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2006 |
Last Update Date | 28/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0014101840004 | (05) | PA |
F55823 | (02) |