Doctor Name: | JAMAR WILLIAMS |
NPI Number: | 1689000465 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, MPH |
License Number: | P90785 |
Business Practice Address: | 374 Stockholm St Brooklyn, NY - 112374006 |
Business Phone Number: | 7185084641 |
Business Fax Number: | |
Mailing Address: | 1333 E 54th St, BROOKLYN |
State: | NY |
Postal Code: | 112343343 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/24/2013 |
NPI Last Update Date: | 09/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | P90785 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |