Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | C7-0004863 | DE |
N | 111NI0900X | Internist | C7-0004863 | DE |
N | 207R00000X | Internist | D0081038 | MD |
N | 111NI0900X | Internist | D0081038 | MD |
Y | 207RI0200X | Infectious Disease | D0081038 | MD |
NPI | 1023308640 |
---|---|
Provider Name | Dr. Calvin Thomas Williams JR. |
First Address | Baltimore, MD 21218-2829 |
Second Address | Baltimore, MD 21218-2829 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2011 |
Last Update Date | 24/04/2018 |