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NPI Code Detail

MEDICARE: WILLIAM T INGRAM DO

MEDICARE: WILLIAM T INGRAM DO
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
1207Q00000XFamily Medicine PhysicianOS006603LPA

Other Identifiers

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

General Provider Information

NPI Number : 1205838463
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM T INGRAM DO
Provider Business Mailing Address
First Line : 901 W ASHLAND AVE
Second Line :
City : GLENOLDEN
State : PA
Zip : 19036-1101
Country : US
Telephone Number : 610-461-6450
Fax Number : 610-461-1842
Provider Business Practice Location Address
First Line : 901 W ASHLAND AVE
Second Line :
City : GLENOLDEN
State : PA
Zip : 19036-1101
Country : US
Telephone Number : 610-461-6450
Fax Number : 610-461-1842
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 03/11/2011

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Directions to “ WILLIAM T INGRAM DO” Practice Location

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