Provider Demographics
NPI:1144071440
Name:WILLIAM J MEIS III DO FACOS LLC
Entity type:Organization
Organization Name:WILLIAM J MEIS III DO FACOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MEIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-588-4569
Mailing Address - Street 1:300 BETHLEHEM PIKE
Mailing Address - Street 2:
Mailing Address - City:ERDENHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:19038-8238
Mailing Address - Country:US
Mailing Address - Phone:215-588-4569
Mailing Address - Fax:
Practice Address - Street 1:300 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:ERDENHEIM
Practice Address - State:PA
Practice Address - Zip Code:19038-8238
Practice Address - Country:US
Practice Address - Phone:215-588-4569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Multi-Specialty