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General NPI Number Information
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NPI Number | 1154459196
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Entity Type | Organization
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Legal Business Name | WILLIAMS RADIOLOGY ASSOCIATES
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 170 MIDDLE ST WEEKS MEDICAL CENTER
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City | LANCASTER
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State | NH
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Zip | 03584
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Country | US
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Telephone | 603-788-4911
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Fax | 603-788-5062
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Provider Business Mailing Address
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Address Line | PO BOX 35
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City | LOWER WATERFORD
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State | VT
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Zip | 05848-0035
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Country | US
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Telephone | 802-748-5415
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Fax | 802-748-1768
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Authorized Official
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Title or Position | RADIOLOGIST
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Name | DR. RUSSELL STUART WILLIAMS
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Credential | MD
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Telephone | 802-748-5415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 27116
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 01017837A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 6224
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License Number State | NH
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