Provider Demographics
NPI:1346201514
Name:WARFIELD, WILLIAM S (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:WARFIELD
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 1:17215 MIDDLETON CT
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONTON
Mailing Address - State:VA
Mailing Address - Zip Code:22724-1763
Mailing Address - Country:US
Mailing Address - Phone:540-937-7596
Mailing Address - Fax:
Practice Address - Street 1:17215 MIDDLETON CT
Practice Address - Street 2:
Practice Address - City:JEFFERSONTON
Practice Address - State:VA
Practice Address - Zip Code:22724-1763
Practice Address - Country:US
Practice Address - Phone:540-937-7596
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2009-01-06
Deactivation Date:2007-08-21
Deactivation Code:
Reactivation Date:2008-04-30
Provider Licenses
StateLicense IDTaxonomies
NJMA33650208000000X
VA0101244414208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4516206Medicaid