Individual
ANDRE O WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 CREAMERY WAY, STE 102, EXTON, PA 19341-2533
(610) 280-0340
(610) 280-0750
Mailing address
460 CREAMERY WAY, STE 102, EXTON, PA 19341-2533
(610) 280-0340
(610) 280-0750
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD038212L
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD038212L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926481
—
PA
01
—
050017782
RAILROAD MEDICARE
PA
01
—
050032526
RAILROAD MEDICARE
PA
Enumeration date
10/06/2006
Last updated
07/08/2014
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