Alan Cahn Davidson, M.D.

Individual provider Active NPI Urology Physician · Woodbridge, CT

NPI 1487095451 · NPPES record last updated Jul 8, 2013

Key facts

NPI
1487095451
Entity type
Individual (NPI type 1)
Primary specialty
Urology Physician 208800000X
License
13863 (CT)
Practice address
15 Edgehill Dr
Woodbridge, CT 06525-1418
Phone
(203) 389-6521
Fax
(203) 389-6521
NPI assigned
Jul 8, 2013
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 13863 CT Yes

Addresses

Primary practice location

15 Edgehill Dr
Woodbridge, CT 06525-1418

Mailing address

15 Edgehill Dr
Woodbridge, CT 06525-1418
Phone (203) 389-6521

Other providers in Woodbridge, CT

All providers in Woodbridge, CT · Urology Physician in Connecticut

Sources for this page

Verify at the official NPI Registry.