Healthcare Provider Details

I. General information

NPI: 1992936264
Provider Name (Legal Business Name): ASHLEY A WILLIAMS P.A.-C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2009
Last Update Date: 07/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S 7TH AVE
WEST READING PA
19611
US

IV. Provider business mailing address

301 S 7TH AVE
WEST READING PA
19611
US

V. Phone/Fax

Practice location:
  • Phone: 610-370-2500
  • Fax: 610-376-8239
Mailing address:
  • Phone: 610-370-2500
  • Fax: 610-376-8239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberOA002383
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA054433
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: