Provider Demographics
NPI:1023308640
Name:WILLIAMS, CALVIN THOMAS JR (MD / PHD)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:THOMAS
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:MD / PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:201 E UNIVERSITY PKWY
Mailing Address - Street 2:DEPT OF MEDICINE MEDSTAR UNION MEMORIAL HOSPITAL
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2829
Mailing Address - Country:US
Mailing Address - Phone:410-554-4501
Mailing Address - Fax:410-261-8966
Practice Address - Street 1:201 E UNIVERSITY PKWY
Practice Address - Street 2:DEPT OF MEDICINE MEDSTAR UNION MEMORIAL HOSPITAL
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2829
Practice Address - Country:US
Practice Address - Phone:443-474-9911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-15
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0081038207R00000X, 207RI0200X
DEC7-0004863207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program