Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 25MA07696700 | NJ |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 25MA07696700 | NJ |
NPI | 1306008859 |
---|---|
Provider Name | Shauna F. Williams |
First Address | Newark, NJ 07103-2757 |
Second Address | Newark, NJ 07103-2757 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2008 |
Last Update Date | 26/01/2022 |