Individual
DR. BRENDAN ALEXANDER WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC ORTHOPAEDICS, PHILADELPHIA, PA 19104
(215) 590-3131
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC ORTHOPAEDICS, PHILADELPHIA, PA 19104-4319
(215) 590-3131
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
ME124635
FL
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MT215089
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021286800
—
FL
01
—
JA199Z
MEDICARE PTAN
FL
Enumeration date
04/24/2012
Last updated
07/30/2018
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