Healthcare Provider Details
I. General information
NPI: 1093870156
Provider Name (Legal Business Name): THOMAS E WILLIAMS CO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
627 PARK AVE
PLAINFIELD NJ
07060
US
IV. Provider business mailing address
627 PARK AVE
PLAINFIELD NJ
07060
US
V. Phone/Fax
- Phone: 908-756-7074
- Fax: 908-756-7941
- Phone: 908-756-7074
- Fax: 908-756-7941
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 2549603 |
| Identifier Type | MEDICAID |
| Identifier State | NJ |
| Identifier Issuer | |
VIII. Authorized Official
Name: MR.
BARRY
K
WILLIAMS
Title or Position: PRESIDENT
Credential:
Phone: 908-756-7074