Provider Demographics
NPI:1841294212
Name:WILLIAMS, PATRICIA JANINE (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:JANINE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:583 SHOEMAKER RD
Mailing Address - Street 2:STE 104
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-4217
Mailing Address - Country:US
Mailing Address - Phone:610-265-0184
Mailing Address - Fax:610-265-4088
Practice Address - Street 1:583 SHOEMAKER RD
Practice Address - Street 2:STE 104
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-4217
Practice Address - Country:US
Practice Address - Phone:610-265-0184
Practice Address - Fax:610-265-4088
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD045761L207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
131596Medicare UPIN
PAF67052Medicare UPIN