Provider Demographics
NPI:1477512580
Name:DAVIS, CHARLES FRANCIS JR (MED)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:FRANCIS
Last Name:DAVIS
Suffix:JR
Gender:M
Credentials:MED
Other - Prefix:
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Mailing Address - Street 1:61 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:WALLINGFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06492-4628
Mailing Address - Country:US
Mailing Address - Phone:203-294-1446
Mailing Address - Fax:
Practice Address - Street 1:501 CRESCENT ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1330
Practice Address - Country:US
Practice Address - Phone:203-392-6090
Practice Address - Fax:203-392-6093
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2008-02-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist