Williams, Rosa G

Williams, Rosa G is an individual health care provider with primary practice located at 90 Bergen Street Ste 8100, Newark NJ 07103. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Williams, Rosa G can be contacted via phone (973) 972-2323.

Contact Information

Primary practice address
90 Bergen Street Ste 8100 Newark NJ 07103
Fax: (973) 972-8553
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 25MP00014000 New Jersey

Profile Details

NPI number 1528279544
LBN Legal business name Williams, Rosa G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2007
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528279544 NPPES
New Jersey MEDICAID 0639333636

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