Active NPIIndividual provider

Robert R Davidson, PA-C

Physician Assistant in Berlin, Vermont

NPI Number1083623912
Practice location
130 Fisher RD, Berlin, VT 05602-9516
Fax
—
Last updated
July 8, 2007

Robert R Davidson is a Physician Assistant based in Berlin, VT. Robert R Davidson practices in Berlin, VT and has the professional credentials of PA-C. The NPI Number for Robert R Davidson is 1083623912 and holds a License No. 550030361 (VT). The current practice location address for Robert R Davidson is 130 Fisher RD, Berlin, VT 05602-9516 and can be reached out via phone at 802-225-7000.

Provider Profile Details

NPI Number
1083623912
Provider Name
Robert R Davidson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
130 Fisher RD, Berlin, VT 05602-9516
Phone Number
802-225-7000
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
August 7, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
130 Fisher RD
Berlin, VT 05602-9516
City
Berlin
State
Vermont
Zip
05602-9516
Phone Number
802-225-7000
Berlin, VT 05602Get directions →

Provider Business Mailing Address Details

Address
14 N Pinnacle Ridge RD
Waterbury, VT 05676-9140
City
Waterbury
State
VT
Zip
05676-9140
Phone Number
802-244-0850

License Information

License Number
550030361
License State
VT
Taxonomy
Physician Assistant · 363A00000X · 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 Robert R Davidson, PA-C?

The NPI number of Robert R Davidson, PA-C is 1083623912. It was assigned on August 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Robert R Davidson, PA-C?

Robert R Davidson, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in VT under license number 550030361.

Where does Robert R Davidson, PA-C practice?

The practice location is 130 Fisher RD, Berlin, VT 05602-9516. The office can be reached at 802-225-7000 (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 1083623912 directly on the NPPES registry website.

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