Individual provider · Type 1 NPI

Matthew Widlus, MD

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1265176176 Active

Practice location

5 E 98th St
New York, NY 10029-6501

Call (212) 241-6500 Map

Mailing address

263 Farmington Ave
Farmington, CT 06030-1921

Other practice locations

  • 263 Farmington Ave, Farmington, CT 06030-0001 · (869) 679-4477

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265176176

Matthew Widlus, MD's National Provider Identifier is 1265176176, issued on Apr 26, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on May 13, 2025.