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NPI Code Detail

MEDICARE: ANTHONY VAN DYKE WILLIAMS MD, FACP

MEDICARE: ANTHONY VAN DYKE WILLIAMS MD, FACP
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
1207R00000XInternal Medicine Physician042-0007830VT

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 : 1356348007
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY VAN DYKE WILLIAMS MD, FACP
Provider Business Mailing Address
First Line : PO BOX 547
Second Line : ATT: CVMC FINACE DEPT
City : BARRE
State : VT
Zip : 05641-0547
Country : US
Telephone Number : 802-479-3302
Fax Number : 802-225-5720
Provider Business Practice Location Address
First Line : 225 S MAIN ST
Second Line :
City : BARRE
State : VT
Zip : 05641-4881
Country : US
Telephone Number : 802-479-3302
Fax Number : 802-225-5720
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 10/06/2014

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