Provider Demographics
NPI:1962521104
Name:KING, WILLIAM SCOTT (PA-C)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:KING
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:5 NEPONSET ST
Mailing Address - Street 2:WOT 2ND FL
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-2714
Mailing Address - Country:US
Mailing Address - Phone:508-721-1195
Mailing Address - Fax:508-832-9025
Practice Address - Street 1:85 SOUTH ST
Practice Address - Street 2:SUITE 8
Practice Address - City:WARE
Practice Address - State:MA
Practice Address - Zip Code:01082-1667
Practice Address - Country:US
Practice Address - Phone:413-967-2179
Practice Address - Fax:413-967-2598
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2019-09-17
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Provider Licenses
StateLicense IDTaxonomies
MA362122363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical