Provider Demographics
NPI:1487095451
Name:DAVIDSON, ALAN CAHN (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:CAHN
Last Name:DAVIDSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15 EDGEHILL DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-1418
Mailing Address - Country:US
Mailing Address - Phone:203-389-6521
Mailing Address - Fax:203-389-6521
Practice Address - Street 1:15 EDGEHILL DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-1418
Practice Address - Country:US
Practice Address - Phone:203-389-6521
Practice Address - Fax:203-389-6521
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT13863208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology