Provider Demographics
NPI:1083787634
Name:SAMMONS, WILLIAM AUSTIN HAFFNER (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:AUSTIN HAFFNER
Last Name:SAMMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 MOORLAND ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01267-2410
Mailing Address - Country:US
Mailing Address - Phone:508-877-6195
Mailing Address - Fax:
Practice Address - Street 1:84 MOORLAND ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:MA
Practice Address - Zip Code:01267-2410
Practice Address - Country:US
Practice Address - Phone:508-877-6195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA565992080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics