Healthcare Provider Details
I. General information
NPI: 1417910340
Provider Name (Legal Business Name): WILLIAM J. LIEN, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/11/2006
Last Update Date: 11/27/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9 ROWELL RD
BOYERTOWN PA
19512-8933
US
IV. Provider business mailing address
9 ROWELL RD
BOYERTOWN PA
19512-8933
US
V. Phone/Fax
- Phone: 610-369-0900
- Fax: 610-473-0333
- Phone: 610-369-0900
- Fax: 610-473-0333
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
JAMES
LIEN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 610-369-0900