Provider Demographics
NPI:1427028950
Name:DAVIS, HAROLD J (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:J
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:521 MT PLEASANT DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18503-1987
Mailing Address - Country:US
Mailing Address - Phone:570-346-7338
Mailing Address - Fax:570-341-3025
Practice Address - Street 1:521 MT PLEASANT DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18503-1987
Practice Address - Country:US
Practice Address - Phone:570-346-7338
Practice Address - Fax:570-341-3025
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2021-08-05
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Provider Licenses
StateLicense IDTaxonomies
PAMD026444E207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA00097273300206Medicaid
PAC33280Medicare UPIN
PA196046YGDBMedicare PIN