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Dr. Jerry A Wider, MD
Obstetrics Physician in Smithtown, New York
NPI 1447360615

Jerry A Wider is a Obstetrics Physician based in Avon, NY and is specialized in Obstetrics. Jerry A Wider practices in Smithtown, NY and has the professional credentials of MD. The NPI Number for Jerry A Wider is 1447360615 and holds a License No. 092304 (New York).

The current practice location address for Jerry A Wider is 48 Route 25A, Smithtown, NY and can be reached out via phone at 631-862-3800. You can also correspond with Jerry A Wider through the mailing address at 22 WATERVILLE RD, AVON, CT - 06001-2066 (mailing address contact number: 860-676-7421).

Location: 48 Route 25A, Smithtown, NY, 06001-2066
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447360615
Provider Name
Jerry A Wider
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
48 Route 25A, Smithtown, NY, 06001-2066
Phone Number
631-862-3800
Fax Number
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
48 Route 25A
City
Smithtown
State
New York
Zip
11787-1431
Phone Number
631-862-3800
Fax Number
person
Provider Business Mailing Address Details
Address
48 Route 25A
City
Smithtown
State
New York
Zip
11787-1431
Phone Number
631-862-3800
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
092304 (New York)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
207VG0400X
License No.
092304 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Obstetrics
Taxonomy
207VX0000X
License No.
092304 (New York)
Definition
Definition to come...
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