Provider Demographics
NPI:1730302589
Name:WILLIAMS-FELL, ELENORA AIMEE (DPM)
Entity Type:Individual
Prefix:DR
First Name:ELENORA
Middle Name:AIMEE
Last Name:WILLIAMS-FELL
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 MORRIS AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1213
Mailing Address - Country:US
Mailing Address - Phone:973-886-3862
Mailing Address - Fax:
Practice Address - Street 1:251 MORRIS AVE STE 201
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1213
Practice Address - Country:US
Practice Address - Phone:973-886-3862
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD002362213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7040300Medicaid
NJ078645Medicare ID - Type UnspecifiedWI 078645
NJ7040300Medicaid