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NPI Code Detail

MEDICARE: MRS. ANDREA ELIZABETH WILLIAMS MD

MEDICARE: MRS. ANDREA ELIZABETH WILLIAMS MD
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
1207Q00000XFamily Medicine PhysicianG68057CA

General Provider Information

NPI Number : 1396733135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA ELIZABETH WILLIAMS MD
Provider Business Mailing Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 510-437-8500
Fax Number : 510-437-6567
Provider Business Practice Location Address
First Line : 1411 E 31ST ST
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1018
Country : US
Telephone Number : 510-437-8500
Fax Number : 510-437-6567
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 04/16/2014

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