Individual
DR. GREGORY D WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6353 WOODBINE AVE, PHILADELPHIA, PA 19151-2523
(215) 877-5128
(215) 878-4965
Mailing address
6353 WOODBINE AVE, PHILADELPHIA, PA 19151-2523
(215) 877-5128
(215) 878-4965
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019351E
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD019351E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611722005
—
PA
Enumeration date
02/02/2006
Last updated
01/26/2010
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