Provider Demographics
NPI:1801323266
Name:PATIENCE A WILLIAMS M D CHILD & ADOLESCENT CENER LLC
Entity type:Organization
Organization Name:PATIENCE A WILLIAMS M D CHILD & ADOLESCENT CENER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-681-7237
Mailing Address - Street 1:11120 NEW HAMPSHIRE AVE STE 309
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2680
Mailing Address - Country:US
Mailing Address - Phone:301-681-7237
Mailing Address - Fax:301-681-7238
Practice Address - Street 1:11120 NEW HAMPSHIRE AVE STE 309
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2680
Practice Address - Country:US
Practice Address - Phone:301-681-7237
Practice Address - Fax:301-681-7238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-16
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
MDD0046220208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Single Specialty