Provider Demographics
NPI:1265442511
Name:WILLIAMS, EDWARD J (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:540 LAFAYETTE RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842-3344
Mailing Address - Country:US
Mailing Address - Phone:603-926-0088
Mailing Address - Fax:603-926-2853
Practice Address - Street 1:789 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2526
Practice Address - Country:US
Practice Address - Phone:603-740-2163
Practice Address - Fax:603-740-2246
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2011-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NH9848207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH930055338OtherRAILROAD THRU SEACOAST ER
MA0119415Medicaid
ME310930099Medicaid
NH0106314T0NH01OtherBCBS THRU SEACOAST ER
NH30010456Medicaid
NHG04017OtherHARVARD PILGRIM NH
NHG04017OtherHARVARD PILGRIM NH
NH0106314T0NH01OtherBCBS THRU SEACOAST ER
NHUX8815Medicare PIN