Provider Demographics
NPI:1154378891
Name:ARTZ, WILLIAM J JR (DO)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:J
Last Name:ARTZ
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:9821 ACADEMY RD
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1545
Mailing Address - Country:US
Mailing Address - Phone:215-632-8700
Mailing Address - Fax:215-632-5901
Practice Address - Street 1:9821 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1545
Practice Address - Country:US
Practice Address - Phone:215-632-8700
Practice Address - Fax:215-632-5901
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2010-07-22
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Provider Licenses
StateLicense IDTaxonomies
PAOS005288L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA437373Medicare ID - Type Unspecified
PAC34147Medicare UPIN