Individual provider · Type 1 NPI
Todd M. Wider, MD
Plastic and Reconstructive Surgery Physician · New York, NY
NPI number
1629157003
Active
Practice location
871 5th Avenue
New York, NY 10023
Fax (212) 737-8569
Mailing address
48 Route 25A, 202
Smithtown, NY 11787-1431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | 193602 (NY) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1629157003
Todd M. Wider, MD's National Provider Identifier is 1629157003, issued on Nov 4, 2006. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in New York, NY. The record was last updated on Feb 18, 2009.