Organization · Type 2 NPI
Jan N Widerman P.c.
Primary Care Clinic/Center · Philadelphia, PA
NPI number
1962657346
Active
Practice location
10800 Bustleton Ave
Philadelphia, PA 19116-3302
Fax (215) 934-6787
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | OS004029L (PA) |
Primary Care Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1962657346
Jan N Widerman P.c.'s National Provider Identifier is 1962657346, issued on Nov 26, 2008. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Philadelphia, PA. The record was last updated on Nov 26, 2008.