Provider Demographics
NPI:1184874455
Name:WEBSTER, WILLIAM S (DVM, PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:S
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:DVM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MORSE CIR
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1111
Mailing Address - Country:US
Mailing Address - Phone:508-393-8054
Mailing Address - Fax:
Practice Address - Street 1:5 MORSE CIR
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-1111
Practice Address - Country:US
Practice Address - Phone:508-393-8054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2004174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAAMedicare PIN