Provider Demographics
NPI:1336255751
Name:WILLIAMS, SHARON L (AUD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 BUNN DR STE A
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-2859
Mailing Address - Country:US
Mailing Address - Phone:609-430-9200
Mailing Address - Fax:609-430-9202
Practice Address - Street 1:256 BUNN DR STE A
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-2859
Practice Address - Country:US
Practice Address - Phone:609-430-9200
Practice Address - Fax:609-430-9202
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MG00103000237600000X
NJ41YA00067400231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ083405ZVKVOtherMEDICARE
NJ0053333Medicaid
2349457000OtherAMERIHEALTH
2423059OtherUNITED HEALTHCARE
3562635OtherAETNA
4075931OtherCIGNA
P3403563OtherOXFORD
4075931OtherCIGNA