Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 036.127584 | IL |
N | 208600000X | Surgeon | 036.127584 | IL |
Y | 2086X0206X | Surgical Oncologist | D0081628 | MD |
NPI | 1134480833 |
---|---|
Provider Name | Richelle T Williams |
First Address | Baltimore, MD 21201-1504 |
Second Address | Baltimore, MD 21201-1544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2012 |
Last Update Date | 02/11/2017 |