Provider Demographics
NPI:1215943311
Name:WILLIAMS, CHRISTINE M (PAC)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:615 HOPE RD
Mailing Address - Street 2:BLDG 1A
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-1277
Mailing Address - Country:US
Mailing Address - Phone:732-935-0407
Mailing Address - Fax:732-935-0757
Practice Address - Street 1:615 HOPE RD
Practice Address - Street 2:BLDG 1A
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-1277
Practice Address - Country:US
Practice Address - Phone:732-935-0407
Practice Address - Fax:732-935-0757
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2010-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00218600363AS0400X
NY008800363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical