Provider Demographics
NPI:1548291453
Name:WILLIAMS, JOSHUA O JR (MD)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:O
Last Name:WILLIAMS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3600 PRYTANIA STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-895-9044
Mailing Address - Fax:504-895-5405
Practice Address - Street 1:3600 PRYTANIA STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-895-9044
Practice Address - Fax:504-895-5405
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA04344R207Q00000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1311413Medicaid
LA1311413Medicaid
04344RMedicare UPIN