George Williams, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Forked River, NJ

NPI 1891790044 · NPPES record last updated Nov 5, 2007

Key facts

NPI
1891790044
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
25MA02413000 (NJ)
Practice address
833 Lacey Rd
Forked River, NJ 08731-1200
Phone
(609) 242-2334
Fax
(609) 242-2402
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA02413000NJMDDiagnostic Radiology Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 25MA02413000 NJ Yes

Addresses

Primary practice location

833 Lacey Rd
Forked River, NJ 08731-1200

Mailing address

833 Lacey Rd
Forked River, NJ 08731-1200
Phone (609) 242-2334

Other providers in Forked River, NJ

All providers in Forked River, NJ · Diagnostic Radiology Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.