NPI: 1104031939 · ELIZABETH, NJ 07208 · Pediatrics Physician · NPI assigned 05/14/2007
| Authorized Official | DAVIS, KENNETH (OWNER) |
| NPI Enumeration Date | 05/14/2007 |
Other providers sharing the same authorized official: DAVIS, KENNETH
| Provider | City | State | Total Paid |
|---|---|---|---|
| PDSSC-CHICAGO, INC. | CHICAGO | IL | $196K |
| GALENA CLINIC, INC. | GALENA | IL | $59K |
| DAVISPSYCHOLOGICAL & CONSULTING SERVICES INC. | TOLEDO | OH | $589.03 |
| RUSTIC MOUNTAIN DENTISTRY | TAYLOR | AZ | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 994 | $26K |