Provider Demographics
NPI:1528131687
Name:WILLIAMS, STEPHEN B (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:B
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:180 THOMAS JOHNSON DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-4550
Mailing Address - Country:US
Mailing Address - Phone:301-631-6877
Mailing Address - Fax:240-566-7820
Practice Address - Street 1:180 THOMAS JOHNSON DR
Practice Address - Street 2:SUITE 202
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-4550
Practice Address - Country:US
Practice Address - Phone:301-631-6877
Practice Address - Fax:240-566-7820
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0066599207RC0000X, 208600000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
I31449Medicare UPIN