Active NPIIndividual providerSole proprietor

Amanda J Davidson

Clinic/Center, Methadone Clinic in Gloucester, Massachusetts

NPI Number1013479708
Practice location
23 Duncan St, Gloucester, MA 01930-6001
Fax
—
Last updated
April 2, 2019

Amanda Jeanne Davidson is a Clinic/Center, Methadone Clinic based in Gloucester, MA. Amanda Jeanne Davidson practices in Gloucester, MA. The NPI Number for Amanda Jeanne Davidson is 1013479708. The current practice location address for Amanda Jeanne Davidson is 23 Duncan St, Gloucester, MA 01930-6001 and can be reached out via phone at 781-990-9090.

Provider Profile Details

NPI Number
1013479708
Provider Name
Amanda Jeanne Davidson
Provider Entity Type
Individual
Gender
Female
Address
23 Duncan St, Gloucester, MA 01930-6001
Phone Number
781-990-9090
Primary Taxonomy
Clinic/Center, Methadone Clinic · 261QM2800X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2019
Last Update Date
April 2, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Duncan St
Gloucester, MA 01930-6001
Zip
01930-6001
Phone Number
781-990-9090
Gloucester, MA 01930Get directions →

Provider Business Mailing Address Details

Address
23 Duncan St
Gloucester, MA 01930-6001
City
Gloucester
State
MA
Zip
01930-6001
Phone Number
781-990-9090

License Information

Taxonomy
Clinic/Center, Methadone Clinic · 261QM2800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Amanda J Davidson?

The NPI number of Amanda J Davidson is 1013479708. It was assigned on April 2, 2019 and is currently active in the NPPES registry.

What is the specialty of Amanda J Davidson?

Amanda J Davidson is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X).

Where does Amanda J Davidson practice?

The practice location is 23 Duncan St, Gloucester, MA 01930-6001. The office can be reached at 781-990-9090 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013479708 directly on the NPPES registry website.

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