Dr Rotimi Mafolasere Williams, | |
3719 Saint Lawrence Ave, Reading, PA 19606-2328 | |
(148) 431-7202 | |
Not Available |
Full Name | Dr Rotimi Mafolasere Williams |
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Gender | Male |
Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
Location | 3719 Saint Lawrence Ave, Reading, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518673953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | SP026893 (Pennsylvania) | Primary |
Entity Name | Supportive Care Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174992275 PECOS PAC ID: 0143521211 Enrollment ID: O20151214002225 |
Entity Name | Prospect Health Access Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568819084 PECOS PAC ID: 5698065142 Enrollment ID: O20160613000737 |
Mailing Address | Practice Location Address |
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Dr Rotimi Mafolasere Williams, 3719 Saint Lawrence Ave, Reading, PA 19606-2328 Ph: (148) 431-7202 | Dr Rotimi Mafolasere Williams, 3719 Saint Lawrence Ave, Reading, PA 19606-2328 Ph: (148) 431-7202 |
Patricia M Spiegel, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Penn St, Reading, PA 19602 Phone: 610-372-7712 | |
Jessica Dopke, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 230 N 5th St, Reading, PA 19601 Phone: 610-376-6077 | |
Christine Prough, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Penn St, Reading, PA 19602 Phone: 610-372-7712 | |
Ms. Jessica C Shine, MSN Registered Nurse Medicare: Medicare Enrolled Practice Location: 2500 Bernville Rd, Reading, PA 19605 Phone: 610-756-7710 | |
Mrs. Nancy Katzen, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 230 N 5th St, 3rd Floor, Reading, PA 19601 Phone: 610-376-6077 Fax: 610-376-6944 | |
Maria B Foell, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Penn St, Reading, PA 19602 Phone: 610-372-7712 | |
Ruth W Speicher, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Penn St, Reading, PA 19602 Phone: 610-372-7712 |