Provider Demographics
NPI:1518267079
Name:WILLIAMS, ALLISON M (PA)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:2450 W HUNTING PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1302
Mailing Address - Country:US
Mailing Address - Phone:215-707-2400
Mailing Address - Fax:215-707-4034
Practice Address - Street 1:1316 W ONTARIO ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19140
Practice Address - Country:US
Practice Address - Phone:215-707-2400
Practice Address - Fax:215-707-4034
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2018-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMA054541207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine