Provider Demographics
NPI:1912966987
Name:WILLIAMS, THOMAS MAX (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:MAX
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1306 DECATUR CT
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3505
Mailing Address - Country:US
Mailing Address - Phone:610-269-9072
Mailing Address - Fax:610-289-2250
Practice Address - Street 1:OLD ROUTE 22
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526
Practice Address - Country:US
Practice Address - Phone:610-562-6333
Practice Address - Fax:610-562-6201
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 030557-E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG-65701Medicare UPIN