Provider Demographics
NPI:1679785000
Name:BELL, WILLIAM III (PT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:BELL
Suffix:III
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 WALNUT AVE
Mailing Address - Street 2:
Mailing Address - City:CRANFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07016-3374
Mailing Address - Country:US
Mailing Address - Phone:908-272-5955
Mailing Address - Fax:908-272-4699
Practice Address - Street 1:777 WALNUT AVE
Practice Address - Street 2:
Practice Address - City:CRANFORD
Practice Address - State:NJ
Practice Address - Zip Code:07016-3374
Practice Address - Country:US
Practice Address - Phone:908-272-5955
Practice Address - Fax:908-272-4699
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00117700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist