Provider Demographics
NPI:1316992910
Name:DAVIS, MARK ALAN (MD MS)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:ALAN
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD MS
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Mailing Address - Street 1:75 FRANCIS STREET
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF EMERGENCY MED
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-5640
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL DEPARTMENT OF EMERGENCY MED
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA81500207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine