Individual
ROBERT WADE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 CENTENNIAL LN, ELLICOTT CITY, MD 21042-3600
(410) 750-9439
Mailing address
7769 VALLEY OAK DR, ELKRIDGE, MD 21075-6573
(443) 825-8538
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006310
MD
Other
Enumeration date
12/20/2016
Last updated
06/16/2020
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