MEDICARE: SANKEY V WILLIAMS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD013088E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083645766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANKEY V WILLIAMS MD

Provider Business Mailing Address
First Line	:	3701 MARKET ST
Second Line	:	SUITE 640 6TH FLOOR
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5502
Country	:	US
Telephone Number	:	215-662-3795
Fax Number	:	215-349-5091

Provider Business Practice Location Address
First Line	:	3701 MARKET ST
Second Line	:	STE 640 6TH FL
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-5502
Country	:	US
Telephone Number	:	215-662-3795
Fax Number	:	215-349-5091

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	04/20/2012

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Directions to “ SANKEY V WILLIAMS MD” Practice Location

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