Provider Demographics
NPI:1215270996
Name:WILLIAMS, PAUL J (MBA)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8610 CHESTNUT RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4927
Mailing Address - Country:US
Mailing Address - Phone:240-839-1848
Mailing Address - Fax:
Practice Address - Street 1:8610 CHESTNUT RIDGE DR
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4927
Practice Address - Country:US
Practice Address - Phone:240-839-1848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor