Williams, Mark E
Williams, Mark E is an individual health care provider with primary practice located at 1 Joslin Pl , Boston MA 02215-5306. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Williams, Mark E can be contacted via phone (617) 732-2477.Contact Information
Primary practice address
1 Joslin Pl
Boston MA 02215-5306
Phone: (617) 732-2477
Fax: (617) 732-2467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 45103 | Massachusetts |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 45103 | Massachusetts |
Profile Details
| NPI number | 1184653891 |
|---|---|
| LBN Legal business name | Williams, Mark E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 3rd, 2006 |
| Last updated | Apr 25th, 2011 - about 15 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 | 1184653891 | NPPES |
| Massachusetts | MEDICAID | 0112542 |
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