Dr Kenneth James Davis, MD | |
701 Newark Ave, Suite 212, Elizabeth, NJ 07208-3550 | |
(908) 354-9500 | |
(908) 354-9077 |
Full Name | Dr Kenneth James Davis |
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Gender | Male |
Speciality | Pediatrics |
Location | 701 Newark Ave, Elizabeth, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285650226 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208000000X | Pediatrics | 25MA04177300 (New Jersey) | Primary |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Mailing Address | Practice Location Address |
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Dr Kenneth James Davis, MD 701 Newark Ave, Suite 212, Elizabeth, NJ 07208-3550 Ph: (908) 354-9500 | Dr Kenneth James Davis, MD 701 Newark Ave, Suite 212, Elizabeth, NJ 07208-3550 Ph: (908) 354-9500 |
Amita N Patel, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 817 Rahway Ave, Elizabeth, NJ 07202 Phone: 908-353-5750 Fax: 908-355-2452 | |
Mrs. Karpukarasi Ayyanathan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 517 Rahway Ave, Elizabeth, NJ 07202 Phone: 908-527-1247 Fax: 908-354-8822 | |
Dr. Patricia Laura Czernizer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 435 Elmora Ave, Elizabeth, NJ 07208 Phone: 908-659-9200 Fax: 908-659-9210 | |
Dr. Edgardo Tan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 314 1st Ave, Elizabeth, NJ 07206 Phone: 908-353-5280 | |
Mrs. Kusum Anil Jethwa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 Westfield Ave, Elizabeth, NJ 07208 Phone: 908-354-1400 Fax: 908-354-1400 | |
Dr. Danilo Magallanes Guinto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 144 Chilton St, Elizabeth, NJ 07202 Phone: 908-659-0429 Fax: 908-659-1559 |