Basic Information
Provider Information
NPI: 1285898817
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAVIS
FirstName: AARON
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 407 EAST AVE. WOMEN'S CARE INC.
Address2: SUITE 150
City: PAWTUCKET
State: RI
PostalCode: 02860
CountryCode: US
TelephoneNumber: 4017274800
FaxNumber: 4017284437
Practice Location
Address1: 407 EAST AVE
Address2: SUITE 150
City: PAWTUCKET
State: RI
PostalCode: 028605299
CountryCode: US
TelephoneNumber: 4017274800
FaxNumber: 4017284437
Other Information
ProviderEnumerationDate: 07/14/2008
LastUpdateDate: 08/23/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XDO00679RIY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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