Provider Demographics
NPI:1508825548
Name:LIAW, WILLIAM JOSEPH (DO)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:LIAW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3760 BROOKSIDE RD
Mailing Address - Street 2:
Mailing Address - City:MACUNGIE
Mailing Address - State:PA
Mailing Address - Zip Code:18062-1741
Mailing Address - Country:US
Mailing Address - Phone:610-966-4646
Mailing Address - Fax:610-965-6201
Practice Address - Street 1:3760 BROOKSIDE RD
Practice Address - Street 2:
Practice Address - City:MACUNGIE
Practice Address - State:PA
Practice Address - Zip Code:18062-1741
Practice Address - Country:US
Practice Address - Phone:610-628-7111
Practice Address - Fax:610-628-7180
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2017-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS008821L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA903824OtherBLUE CROSS / BLUE SHIELD
PA02192101OtherCAPITAL BLUE CROSS
PAP00644915OtherRAILROAD MEDICARE
PAP00644915OtherRAILROAD MEDICARE
PA02192101OtherCAPITAL BLUE CROSS