Christopher J. Davidson, M.D., LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

223532 Issued in MA

Legal business name

CHRISTOPHER J. DAVIDSON, M.D., LLC

Practice address

332 Washington St
Suite 100
Wellesley Hills, MA 02481-6219

Phone

(978) 667-5230

NPI assigned

Feb 8, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vickie Maria Grandi

Title

Billing Specialist

Phone

(978) 667-5230

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1194903435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 100",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "978-667-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 WASHINGTON ST",
            "address_2": "SUITE 100",
            "city": "WELLESLEY HILLS",
            "state": "MA",
            "postal_code": "024816219",
            "telephone_number": "978-667-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER J. DAVIDSON, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "GRANDI",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "978-667-5230"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "223532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117827",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Apfelbaum Caplan, CPNP
• Amanda Cardinal, OTR
• Brant Christian Carter, LIC. AC., DIPL. O.M.
• Francis S. Caruso, ED.D.
• Eumene Ching, M.D.
• Jessica L.C. Clark, LMHC, CCSOTS, TF-CBT
• Michelle Clark, PHD
• CNS Clinicians, P.C.
• Pamela Marie Cobey, RNPC, RNNP
• Suzanne Lee Cooley, MSN, RN, CS

• Plastic Surgery Physician in Wellesley Hills, MA
• Providers in Wellesley Hills, MA by specialty
• Plastic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.