| Doctor Name: | PATRICK DAVIDSON |
| NPI Number: | 1063601839 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 2389 |
| Business Practice Address: | 150 Ansel Hallet Rd Suite A West Yarmouth, MA - 026732582 |
| Business Phone Number: | 5087714263 |
| Business Fax Number: | 5087717906 |
| Mailing Address: | 150 Ansel Hallet Rd, Suite A WEST YARMOUTH |
| State: | MA |
| Postal Code: | 026732582 |
| Phone Number: | 5087714263 |
| Fax Number: | 5087717906 |
| NPI Enumeration Date: | 10/17/2007 |
| NPI Last Update Date: | 10/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 2389 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |