Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDDIE BENJAMIN DAVIS III
Active Sole ProprietorEDDIE BENJAMIN DAVIS III is a Emotionally Disturbed Children Residential Treatment healthcare provider located in WOODBURY, New Jersey. NPI 1699305086 is currently active in the NPPES registry. Verify at CMS.
Emotionally Disturbed Children Residential Treatment · WOODBURY, NJ
Registration Details
- NPI Number
- 1699305086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2020 (6.5989310009838 yrs)
- Last Updated
- Jan 28, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
1966 MELVINA RDWOODBURY, NJ, 080965613Browse NJ providers · Browse ZIP 08096
- Phone
- 8566934446
- Primary Specialty
-
Emotionally Disturbed Children Residential Treatment
320900000X
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.