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Individual

DR. ALLANDA WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
19 W MAIN ST STE C, MAPLE SHADE, NJ 08052-2411
(856) 779-7386
(856) 779-7563
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 779-7386
(856) 779-7563

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11503500
NJ
207Q00000X
Family Medicine Physician
OT019572
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0855081
NJ
Enumeration date
06/26/2019
Last updated
06/17/2025
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