Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 254811 | MA |
N | 2080A0000X | Adolescent Medicine | CW009839 | MI |
Y | 2080A0000X | Adolescent Medicine | OS005193L | PA |
NPI | 1144395492 |
---|---|
Provider Name | Cindy Fine Williams |
First Address | Philadelphia, PA 19129-1302 |
Second Address | Bay City, MI 48708-6742 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2006 |
Last Update Date | 29/11/2017 |