Provider Demographics
NPI:1144288549
Name:MEIKRANTZ, WILLIAM J (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:MEIKRANTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:130 SUTTER ST FL 2
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-4009
Mailing Address - Country:US
Mailing Address - Phone:415-658-6791
Mailing Address - Fax:415-540-0904
Practice Address - Street 1:28 STATE ST
Practice Address - Street 2:SUITE 2860
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-1775
Practice Address - Country:US
Practice Address - Phone:617-903-5000
Practice Address - Fax:617-903-5009
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2015-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224677207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA39385Medicare PIN
MAA39385Medicare PIN