MEDICARE: DR. PATIENCE ADJOVI WILLIAMS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	D0046220	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134188451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATIENCE ADJOVI WILLIAMS M.D.

Provider Business Mailing Address
First Line	:	1600 ANGELWING DR
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1500
Country	:	US
Telephone Number	:	301-622-7090
Fax Number	:	301-622-3272

Provider Business Practice Location Address
First Line	:	11120 NEW HAMPSHIRE AVE
Second Line	:	SUITE 309
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2633
Country	:	US
Telephone Number	:	301-681-7237
Fax Number	:	301-681-7238

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	11/30/2023

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