Provider Demographics
NPI:1194106245
Name:WILLIAMS-HERMAN, DEBORA ELLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORA
Middle Name:ELLEN
Last Name:WILLIAMS-HERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 ARRETON RD
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1427
Mailing Address - Country:US
Mailing Address - Phone:609-497-1966
Mailing Address - Fax:801-457-3121
Practice Address - Street 1:1020 1ST AVE
Practice Address - Street 2:C/O CSL BEHRING INC.
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1310
Practice Address - Country:US
Practice Address - Phone:610-308-0173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG684132080P0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0201XAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology