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NPI Code Detail

MEDICARE: DR. WILLIAM KING JR. M.D.

MEDICARE: DR. WILLIAM KING JR. 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
1207V00000XObstetrics & Gynecology PhysicianMD034805EPA
2208D00000XGeneral Practice PhysicianMD034805EPA

General Provider Information

NPI Number : 1457411670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM KING JR. M.D.
Provider Business Mailing Address
First Line : PO BOX 18463
Second Line :
City : BALTIMORE
State : MD
Zip : 21237-0463
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2302 EAST ALLEGHENY AVENUE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19134
Country : US
Telephone Number : 215-834-9961
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 05/04/2008

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