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NPI Code Detail

MEDICARE: DR. NARISSA WILLIAMS MD, MPH, MBE

MEDICARE:  DR. NARISSA  WILLIAMS  MD, MPH, MBE
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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician25MA12331800NJ

General Provider Information

NPI Number : 1881275733
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NARISSA WILLIAMS MD, MPH, MBE
Provider Business Mailing Address
First Line : PO BOX 6736
Second Line :
City : LAWRENCE TOWNSHIP
State : NJ
Zip : 08648-0736
Country : US
Telephone Number : 609-613-2381
Fax Number :
Provider Business Practice Location Address
First Line : 196 PRINCETON HIGHTSTOWN RD
Second Line :
City : WEST WINDSOR
State : NJ
Zip : 08550-1672
Country : US
Telephone Number : 609-799-5335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2021
Last Update Date : 04/11/2025

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