Individual provider · Type 1 NPI

Jerry A. Wider, MD

Obstetrics Physician · Smithtown, NY

NPI number 1447360615 Active

Practice location

48 Route 25A, Suite 207
Smithtown, NY 11787-1431

Call (631) 862-3800 Map

Mailing address

22 Waterville Rd, Whny Managed Care
Avon, CT 06001-2066

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X092304 (NY)
Gynecology Physician 207VG0400X092304 (NY)
Obstetrics Physician Primary 207VX0000X092304 (NY)

Obstetrics Physician: A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

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About NPI 1447360615

Jerry A. Wider, MD's National Provider Identifier is 1447360615, issued on Aug 30, 2006. The primary taxonomy on file is Obstetrics Physician (207VX0000X), and the practice location is in Smithtown, NY. The record was last updated on Sep 11, 2025.