Provider Demographics
NPI:1346268406
Name:WILLIAMS, ERIC HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HOWARD
Last Name:WILLIAMS
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 1:8601 LA SALLE RD STE 104
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-2005
Mailing Address - Country:US
Mailing Address - Phone:410-337-5400
Mailing Address - Fax:410-337-5520
Practice Address - Street 1:8601 LASALLE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-2005
Practice Address - Country:US
Practice Address - Phone:410-337-5400
Practice Address - Fax:410-337-5520
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0063768174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY348736500OtherACS INS. (US DEPT. OF LAB
MD331010662OtherAETNA INSURANCE
MD331010662OtherUNITED HEALTHCARE
MD331010662OtherUNITED HEALTHCARE
MD479MN761Medicare ID - Type UnspecifiedMEDICARE PROVIDER #