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Individual

DR. WINFRED WOODROW WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT STREET, BUL 123, BOSTON, MA 02114-2696
(617) 726-5050
(617) 724-1122
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-5050
(617) 724-1122

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49922
MA
207RN0300X
Nephrology Physician
Primary
49922
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3011909
MA
01
726044
TUFTS HEALTH PLAN
MA
01
J04902
BCBS MA
MA
Enumeration date
07/28/2006
Last updated
11/12/2012
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