Provider Demographics
NPI:1154358851
Name:YOUNG, WILLIAM W (MD)
Entity type:Individual
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First Name:WILLIAM
Middle Name:W
Last Name:YOUNG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8901 WISCONSIN AVE BLDG 19
Mailing Address - Street 2:WALTER REED NATIONAL MILITARY MEDICAL CENTER BETHESDA
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5600
Mailing Address - Country:US
Mailing Address - Phone:301-295-4771
Mailing Address - Fax:301-295-4759
Practice Address - Street 1:8901 WISCONSIN AVE BLDG 19
Practice Address - Street 2:WALTER REED NATIONAL MILITARY MEDICAL CENTER BETHESDA
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5600
Practice Address - Country:US
Practice Address - Phone:301-295-4771
Practice Address - Fax:301-295-4759
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2024-07-10
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Provider Licenses
StateLicense IDTaxonomies
VA0101221304208000000X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC016559I02Medicare PIN