Basic Information
| Provider Information | |||||||||
| NPI: | 1033219498 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAVIS | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9440 PENNSYLVANIA AVENUE | ||||||||
| Address2: | 160 | ||||||||
| City: | UPPER MARLBORO | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207723687 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015990460 | ||||||||
| FaxNumber: | 3015990463 | ||||||||
| Practice Location | |||||||||
| Address1: | 13605 BADEN WESTWOOD ROAD | ||||||||
| Address2: | |||||||||
| City: | BRANDYWINE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 20613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3018882233 | ||||||||
| FaxNumber: | 3018889133 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/25/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | D0030252 | MD | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.