Provider Demographics
NPI:1013076983
Name:DRS. PRICE & WILLIAMS, LLC
Entity type:Organization
Organization Name:DRS. PRICE & WILLIAMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:FREDERIC
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-494-7060
Mailing Address - Street 1:1205 YORK ROAD
Mailing Address - Street 2:SUITE 33
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6210
Mailing Address - Country:US
Mailing Address - Phone:410-494-7060
Mailing Address - Fax:410-832-5202
Practice Address - Street 1:1205 YORK ROAD
Practice Address - Street 2:SUITE 33
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6210
Practice Address - Country:US
Practice Address - Phone:410-494-7060
Practice Address - Fax:410-832-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0043030174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD417M598FMedicare ID - Type Unspecified
MDF59978Medicare UPIN