Provider Demographics
NPI:1417910340
Name:WILLIAM J. LIEN, M.D., P.C.
Entity Type:Organization
Organization Name:WILLIAM J. LIEN, M.D., P.C.
Other - Org Name:BOYERTOWN FAMILY MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LIEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:610-369-0900
Mailing Address - Street 1:9 ROWELL RD
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-8933
Mailing Address - Country:US
Mailing Address - Phone:610-369-0900
Mailing Address - Fax:610-473-0333
Practice Address - Street 1:9 ROWELL RD
Practice Address - Street 2:
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512-8933
Practice Address - Country:US
Practice Address - Phone:610-369-0900
Practice Address - Fax:610-473-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
118224OtherAMERIHEALTH
7083165OtherAETNA
PA02334400OtherCAPITAL BLUE CROSS
DB2853OtherRAILROAD MEDICARE
0918224OtherHIGHMARK BLUE SHIELD
0860382001OtherINDEPENDENCE BLUE CROSS