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Individual

MS. ROSA G WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
90 BERGEN STREET, STE 8100, NEWARK, NJ 07103
(973) 972-2323
(973) 972-8553
Mailing address
75 MONTROSE ST, NEWARK, NJ 07106-1635
(973) 472-4777
(973) 972-8553

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00014000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0639333636
NJ
Enumeration date
05/24/2007
Last updated
07/09/2007
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