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Organization

FRED W WILLIAMS MD PC

Active
Other names
Fred W Williams MD
Organization subpart
No

Provider details

NPI number
Authorized official
FRED WAYNE WILLIAMS MD (CEO OWNER)
(609) 406-1250
Entity
Organization

Contact information

Practice address
1450 PARKSIDE AV, SUITE 10, TRENTON, NJ 08638-2950
(609) 406-1250
(609) 406-1249
Mailing address
PO BOX 5466, TRENTON, NJ 08638-0466
(609) 406-1250
(609) 406-1249

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA04097100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0085027000
KEYSTONE HEALTH PLAN EAST
01
0394723002
CIGNA
05
0468304
NJ
01
1034846
HORIZON NJ HEALTH
NJ
01
17988
AETNA
01
2K5667
HEALTHNET
01
MES055
OXFORD HEALTH PLANS
Enumeration date
01/18/2007
Last updated
08/22/2020
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