Individual
JASON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 CALLOWHILL ST, PHILADELPHIA, PA 19123-3658
(215) 825-8220
Mailing address
1200 CALLOWHILL ST, PHILADELPHIA, PA 19123-3658
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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