Williams, Gregory D
Williams, Gregory D is an sole proprietor health care provider with primary practice located at 6353 Woodbine Ave , Philadelphia PA 19151-2523. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Williams, Gregory D can be contacted via phone (215) 877-5128.Contact Information
Primary practice address
6353 Woodbine Ave
Philadelphia PA 19151-2523
Phone: (215) 877-5128
Fax: (215) 878-4965
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD019351E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD019351E | Pennsylvania |
Profile Details
| NPI number | 1083686216 |
|---|---|
| LBN Legal business name | Williams, Gregory D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jan 26th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083686216 | NPPES |
| Pennsylvania | MEDICAID | 0611722005 |
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