Provider Demographics
NPI:1275650442
Name:JOSEPH J WILLIAMS MD PC
Entity Type:Organization
Organization Name:JOSEPH J WILLIAMS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-457-0700
Mailing Address - Street 1:5401 OLD YORK RD
Mailing Address - Street 2:KLEIN PROF BLDG STE 403
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3046
Mailing Address - Country:US
Mailing Address - Phone:215-457-0700
Mailing Address - Fax:215-457-0419
Practice Address - Street 1:5401 OLD YORK RD
Practice Address - Street 2:KLEIN PROF BLDG STE 403
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3046
Practice Address - Country:US
Practice Address - Phone:215-457-0700
Practice Address - Fax:215-457-0419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023619E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2362644OtherAETNA
PA0053486000OtherBLUE CROSS
PA1153698OtherKEYSTONE MERCY
PA104534OtherBLUE SHIELD
PA2426697000OtherBLUE CROSS BLUE SHIELD
PA07096OtherSR HEALTH PARTNERS
PA1761018OtherBLUE SHIELD
PA07096OtherSR HEALTH PARTNERS
PA1761018OtherBLUE SHIELD