Individual
DR. WILLIAM UPTON TODD IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-8063
(609) 441-2107
Mailing address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-2147
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
28MA08742100
NJ
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
MT186092
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230413
—
NJ
01
—
1245452499
HORIZON NJ HEALTH
NJ
01
—
3787519000
AMERIHEALTH OF NEW JERSEY
NJ
Enumeration date
05/03/2007
Last updated
11/22/2013
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