Individual
MR. CHARLES T WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D.
Contact information
Practice address
36 NORTH PRESTON STREET, FLOOR 2, PHILADELPHIA, PA 19104
(845) 313-1240
Mailing address
36 N PRESTON ST, FLOOR 2, PHILADELPHIA, PA 19104-2257
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1017557
NY
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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