Williams, Fred Wayne

Williams, Fred Wayne is an individual health care provider with primary practice located at 1450 Parkside Ave Suite 10, Trenton NJ 08638-2946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Williams, Fred Wayne can be contacted via phone (609) 406-1250.

Contact Information

Primary practice address
1450 Parkside Ave Suite 10 Trenton NJ 08638-2946
Phone: (609) 406-1250
Fax: (609) 406-1249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA04097100 New Jersey

Profile Details

NPI number 1679565782
LBN Legal business name Williams, Fred Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1679565782 NPPES
New Jersey MEDICAID 0468304

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