Provider Demographics
NPI:1023335445
Name:WILLIAMSON, JUSTIN ANDREW (MBBS PHD)
Entity type:Individual
Prefix:DR
First Name:JUSTIN
Middle Name:ANDREW
Last Name:WILLIAMSON
Suffix:
Gender:M
Credentials:MBBS PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:HASTINGS HOSPITAL, OMAHU RD
Mailing Address - Street 2:RADIOLOGY DEPARTMENT
Mailing Address - City:HASTINGS
Mailing Address - State:HAWKES BAY
Mailing Address - Zip Code:4120
Mailing Address - Country:NZ
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HASTINGS HOSPITAL, OMAHU RD
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:HASTINGS
Practice Address - State:HAWKES BAY
Practice Address - Zip Code:4120
Practice Address - Country:NZ
Practice Address - Phone:646-878-8109
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-24
Last Update Date:2010-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036119612207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine