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NPI Code Detail

MEDICARE: DR. CYNTHIA MARY WILLIAMS D.O.

MEDICARE:  DR. CYNTHIA MARY WILLIAMS  D.O.
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
1207QH0002XHospice and Palliative Medicine (Family Medicine) PhysicianH0058032MD
2207QH0002XHospice and Palliative Medicine (Family Medicine) Physician20A5305CA

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 : 1932124153
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA MARY WILLIAMS D.O.
Provider Business Mailing Address
First Line : 1247 PENNSYLVANIA AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4412
Country : US
Telephone Number : 301-502-1726
Fax Number :
Provider Business Practice Location Address
First Line : 1247 PENNSYLVANIA AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-4412
Country : US
Telephone Number : 301-502-1726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 06/12/2013

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Directions to “ DR. CYNTHIA MARY WILLIAMS D.O.” Practice Location

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