MEDICARE: RAASHAN C. WILLIAMS, MD, FACC, LLC

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	207RC0000X	Cardiovascular Disease Physician	25MA08095300	NJ

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

General Provider Information

NPI Number	:	1891029773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAASHAN C. WILLIAMS, MD, FACC, LLC

Provider Business Mailing Address
First Line	:	3196 KENNEDY BLVD
Second Line	:	2A
City	:	UNION CITY
State	:	NJ
Zip	:	07087-6439
Country	:	US
Telephone Number	:	201-758-8000
Fax Number	:	201-758-8003

Provider Business Practice Location Address
First Line	:	3196 KENNEDY BLVD THIRD FLOOR
Second Line	:	2A
City	:	UNION CITY
State	:	NJ
Zip	:	07087-6439
Country	:	US
Telephone Number	:	201-758-8000
Fax Number	:	201-758-8003

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	MR. RAASHAN C WILLIAMS
Credential	:	M.D.
Telephone Number	:	201-758-8000

Provider Enumeration Date	:	09/25/2009
Last Update Date	:	07/21/2022

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