Individual
EDWARD S WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E LANCASTER AVE STE 451, WYNNEWOOD, PA 19096-3434
(610) 649-4907
(610) 649-8819
Mailing address
PO BOX 336, WYNNEWOOD, PA 19096
(610) 649-4907
(610) 649-8819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD018686E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00214104
MEDICARE
—
01
—
0053847000
PERSONAL CHOICE
—
05
—
0688871
—
PA
Enumeration date
08/05/2006
Last updated
05/26/2011
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