Provider Demographics
NPI:1245497627
Name:DAVIS, COURTNEY ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:ELIZABETH
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:ELIZABETH
Other - Last Name:GRIFITHS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1 DEVONSHIRE PL
Mailing Address - Street 2:APT 3701
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-3510
Mailing Address - Country:US
Mailing Address - Phone:650-248-9394
Mailing Address - Fax:
Practice Address - Street 1:1 DEVONSHIRE PL
Practice Address - Street 2:APT 3701
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-3510
Practice Address - Country:US
Practice Address - Phone:650-248-9394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA232790208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics