Provider Demographics
NPI:1245363480
Name:WILLIAMS, MARCUS DON (RN)
Entity type:Individual
Prefix:MR
First Name:MARCUS
Middle Name:DON
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:34 ELBERON AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2814
Mailing Address - Country:US
Mailing Address - Phone:610-622-8090
Mailing Address - Fax:215-569-0856
Practice Address - Street 1:112 N BROAD ST
Practice Address - Street 2:8TH FL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1510
Practice Address - Country:US
Practice Address - Phone:215-568-0860
Practice Address - Fax:215-568-0769
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PARN333641L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse