Individual
WILLIAM DAVENPORT POWLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 COLUMBIAN ST, RADIATION ONCOLOGY, SOUTH WEYMOUTH, MA 02190-1601
(781) 624-4700
(781) 624-4710
Mailing address
101 COLUMBIAN ST, RADIATION ONCOLOGY, SOUTH WEYMOUTH, MA 02190-1601
(781) 624-4700
(781) 624-4710
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
38122
MA
2085R0001X
Radiation Oncology Physician
MD027906E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011060870002
—
TN
01
—
487351
HIGHMARK BCBS
PA
Enumeration date
06/10/2006
Last updated
08/24/2015
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