Provider Demographics
NPI:1134188451
Name:WILLIAMS, PATIENCE ADJOVI (MD)
Entity type:Individual
Prefix:DR
First Name:PATIENCE
Middle Name:ADJOVI
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1600 ANGELWING DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1500
Mailing Address - Country:US
Mailing Address - Phone:301-622-7090
Mailing Address - Fax:301-622-3272
Practice Address - Street 1:11120 NEW HAMPSHIRE AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2633
Practice Address - Country:US
Practice Address - Phone:301-681-7237
Practice Address - Fax:301-681-7238
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046220208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD161151800Medicaid