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Individual

DR. BERT EDWARD WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
97 THOMAS JOHNSON DRIVE, SUITE 102, FREDERICK, MD 21702-4379
(301) 694-0414
(301) 694-0415
Mailing address
97 THOMAS JOHNSON DRIVE, SUITE 102, FREDERICK, MD 21702-4379
(301) 694-0414
(301) 694-0415

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
D0054397
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
808003800
MD
Enumeration date
12/05/2006
Last updated
04/03/2008
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