Provider Demographics
NPI:1184086522
Name:DAVIS, MOLLY CLARE (MD)
Entity type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:CLARE
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 829641
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-9641
Mailing Address - Country:US
Mailing Address - Phone:270-370-5285
Mailing Address - Fax:302-733-5640
Practice Address - Street 1:1456 FERRY ROAD
Practice Address - Street 2:SUITE 600
Practice Address - City:FOUNTAINVILLE
Practice Address - State:PA
Practice Address - Zip Code:18923
Practice Address - Country:US
Practice Address - Phone:215-230-8390
Practice Address - Fax:215-230-8392
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0024251208M00000X, 207R00000X
PAMD484457207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist