Provider Demographics
NPI:1396708210
Name:LIEN, WILLIAM JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:LIEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9 ROWELL RD
Mailing Address - Street 2:
Mailing Address - City:BOYERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19512-8933
Mailing Address - Country:US
Mailing Address - Phone:610-369-0900
Mailing Address - Fax:610-473-0333
Practice Address - Street 1:9 ROWELL RD
Practice Address - Street 2:
Practice Address - City:BOYERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19512-8933
Practice Address - Country:US
Practice Address - Phone:610-369-0900
Practice Address - Fax:610-473-0333
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-11
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD069895L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
02334400OtherCAPITAL BLUE CROSS
DB2853OtherRAILROAD MEDICARE
0462844000OtherINDEPENDENCE BLUE CROSS
PA118175OtherAETNA
00702248OtherHIGHMARK BLUE SHIELD
G02248OtherAMERIHEALTH
DB2853OtherRAILROAD MEDICARE
PAH25503Medicare UPIN