Individual ProviderRobert DavisFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address1605 E Evesham Rd Ste 100a, Voorhees, NJ 08043-1437(856) 741-7100(856) 783-5000PECOS EnrollmentBased on the most recent information from CMS, provider Robert Davis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1720068851Provider TypeIndividualFull NameDavis, RobertTitleDr.CredentialD.O.GenderMaleSole ProprietorNoEnumeration Date1/17/2006Last Updated7/12/2022Contact InformationPractice LocationPractice Address1605 E Evesham Rd Ste 100a, Voorhees, NJ 08043-1437Phone(856) 741-7100Fax(856) 424-2629Mailing LocationMailing Address701 Cooper Rd, Suite 16, Voorhees, NJ 08043-3800Phone(856) 783-5000Fax(856) 783-5041Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense25MB0570440New JerseyProvider IdentifiersIDDescriptionIssuerID5510503DescriptionMedicaidIssuerUnlistedNew Jersey