Provider Demographics
NPI:1316168602
Name:HOLDER, WILLIAM ((MD,)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:HOLDER
Suffix:
Gender:
Credentials:(MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 N BEVERWYCK RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2252
Mailing Address - Country:US
Mailing Address - Phone:973-331-9774
Mailing Address - Fax:
Practice Address - Street 1:285 N BEVERWYCK RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2252
Practice Address - Country:US
Practice Address - Phone:973-331-9774
Practice Address - Fax:973-263-3329
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2017-00061207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ512853Medicare UPIN