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NPI Code Detail

MEDICARE: ROBERT E WILLIAMS JR.

MEDICARE: ROBERT E WILLIAMS JR.
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1093299927
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT E WILLIAMS JR.
Provider Business Mailing Address
First Line : 8200 PROFESSIONAL PL STE 115
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2293
Country : US
Telephone Number : 443-330-7900
Fax Number :
Provider Business Practice Location Address
First Line : 8200 PROFESSIONAL PL STE 115
Second Line :
City : LANDOVER
State : MD
Zip : 20785-2293
Country : US
Telephone Number : 443-330-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2018
Last Update Date : 09/17/2018

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Directions to “ ROBERT E WILLIAMS JR. ” Practice Location

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