Provider Demographics
NPI:1992188387
Name:WILLIAMSON, EARLE SMITH (DO)
Entity Type:Individual
Prefix:DR
First Name:EARLE
Middle Name:SMITH
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BERNVILLE RD
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19605-9453
Mailing Address - Country:US
Mailing Address - Phone:610-779-1330
Mailing Address - Fax:610-779-7699
Practice Address - Street 1:3970 PERKIOMEN AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2719
Practice Address - Country:US
Practice Address - Phone:610-779-1330
Practice Address - Fax:610-779-7699
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS019450207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine