Healthcare Provider Details

I. General information

NPI: 1700052446
Provider Name (Legal Business Name): ELIZABETH COX WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2008
Last Update Date: 01/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST FL 11
BALTIMORE MD
21201
US

IV. Provider business mailing address

PO BOX 64374
BALTIMORE MD
21264-4374
US

V. Phone/Fax

Practice location:
  • Phone: 667-214-1616
  • Fax: 410-328-1674
Mailing address:
  • Phone: 667-214-1616
  • Fax: 410-328-1674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number251333
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License NumberD0086210
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: