Provider Demographics
NPI:1700041118
Name:WILLIAMS, EMOLIERE CHANEL (MD)
Entity Type:Individual
Prefix:DR
First Name:EMOLIERE
Middle Name:CHANEL
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4600 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-1839
Mailing Address - Country:US
Mailing Address - Phone:203-371-4445
Mailing Address - Fax:
Practice Address - Street 1:1450 WASHINGTON BLVD # 103
Practice Address - Street 2:STAMFORD HEALTH INTEGRATED PRACTICES INC.
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2451
Practice Address - Country:US
Practice Address - Phone:203-348-2937
Practice Address - Fax:203-348-1968
Is Sole Proprietor?:No
Enumeration Date:2008-07-24
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT049041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine