Provider Demographics
NPI:1295774487
Name:O'BRIEN, WILLIAM J III (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:O'BRIEN
Suffix:III
Gender:M
Credentials:DO
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Mailing Address - Street 1:424 MILL ST
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-4813
Mailing Address - Country:US
Mailing Address - Phone:215-826-8050
Mailing Address - Fax:215-826-8054
Practice Address - Street 1:3554 HULMEVILLE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-4366
Practice Address - Country:US
Practice Address - Phone:215-504-9255
Practice Address - Fax:215-504-9260
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2014-11-10
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Provider Licenses
StateLicense IDTaxonomies
PAOS008318L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0796664000OtherIBC
PA507702OtherAETNA
PA507702OtherAETNA
G04794Medicare UPIN