Individual
DR. BRUCE WILLIAMS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2109 W DIAMOND ST, PHILADELPHIA, PA 19121-1434
(215) 236-1131
(215) 232-3680
Mailing address
2109 W DIAMOND ST, PHILADELPHIA, PA 19121-1434
(215) 236-1131
(215) 232-3680
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS005361L
PA
Other
Enumeration date
09/15/2006
Last updated
07/25/2016
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