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Organization

WILLIAM K. POWER, MD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM K. POWER JR. M.D. (OWNER/PHYSICIAN)
(609) 693-9240
Entity
Organization

Contact information

Practice address
730 LACEY RD, SUITE G06, FORKED RIVER, NJ 08731-1300
(609) 693-9240
(609) 693-3616
Mailing address
730 LACEY RD, SUITE G06, FORKED RIVER, NJ 08731-1300
(609) 693-9240
(609) 693-3616

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA04103700
NJ
363L00000X
Nurse Practitioner
NN96160
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0115048001
AMERIHEALTH
05
4766105
NJ
01
DE7355
RR MEDICARE
NJ
Enumeration date
08/30/2006
Last updated
02/29/2008
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