MEDICARE: DR. WILLIAM ARTHUR PRIN M.D.

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	207V00000X	Obstetrics & Gynecology Physician	019036E	PA
2	207RA0401X	Addiction Medicine (Internal Medicine) Physician	ME134341	FL
3	207Q00000X	Family Medicine Physician	ME134341	FL

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154327682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM ARTHUR PRIN M.D.

Provider Business Mailing Address
First Line	:	100 PENN ST
Second Line	:	STE C
City	:	HANOVER
State	:	PA
Zip	:	17331-1956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7897 BLUE SAGE WAY
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33076-4450
Country	:	US
Telephone Number	:	717-870-1279
Fax Number	:	717-633-3612

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

Provider Enumeration Date	:	06/21/2005
Last Update Date	:	02/03/2022

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