Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | OS016474 | PA |
N | 207Q00000X | Family Doctor | UO 2271 | FL |
Y | 207QS0010X | Family Doctor - Sports Medicine | OS016474 | PA |
NPI | 1053544437 |
---|---|
Provider Name | Dr. William Robert Mccafferty III |
First Address | Jermyn, PA 18433-1121 |
Second Address | Jermyn, PA 18433-1121 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2009 |
Last Update Date | 20/01/2017 |