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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AMANDA JEANNE DAVIDSON

Active Sole Proprietor

AMANDA JEANNE DAVIDSON is a Methadone Clinic healthcare provider located in GLOUCESTER, Massachusetts. NPI 1013479708 is currently active in the NPPES registry. Verify at CMS.

Methadone Clinic · GLOUCESTER, MA

Registration Details

NPI Number
1013479708
Provider Type
Individual
Gender
Female
NPI Issued
Apr 2, 2019 (7.1808803547991 yrs)
Last Updated
Apr 2, 2019
Sole Proprietor
Yes

Practice Information

Address
23 DUNCAN ST
GLOUCESTER, MA, 019306001
Browse MA providers · Browse ZIP 01930
Phone
7819909090
Primary Specialty
Methadone Clinic
261QM2800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.