institution
Jan N Widerman P.c.
Primary Care Clinic/Center in Philadelphia, Pennsylvania
NPI 1962657346

Jan N Widerman P.c. is a Primary Care Clinic/Center based in Philadelphia, PA and is specialized in Primary Care. Jan N Widerman P.c. practices in Philadelphia, PA. The NPI Number for Jan N Widerman P.c. is 1962657346 and holds a License No. OS004029L (Pennsylvania).

The current practice location address for Jan N Widerman P.c. is 10800 Bustleton Ave, Philadelphia, PA and can be reached out via phone at 215-934-6777 and via fax at 215-934-6787.

Location: 10800 Bustleton Ave, Philadelphia, PA, 19116-3302
institution
Provider Profile Details
NPI Number
1962657346
Provider Name
Jan N Widerman P.c.
Credential
Provider Entity Type
Organization
Address
10800 Bustleton Ave, Philadelphia, PA, 19116-3302
Phone Number
215-934-6777
Fax Number
215-934-6787
Provider Enumeration Date
11/26/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10800 Bustleton Ave
City
State
Zip
19116-3302
Phone Number
215-934-6777
Fax Number
215-934-6787
person
Provider Business Mailing Address Details
Address
10800 Bustleton Ave
City
State
Zip
19116-3302
Phone Number
215-934-6777
Fax Number
215-934-6787
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
OS004029L (Pennsylvania)
Definition
Definition to come...
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