MEDICALLY ASSISTED RECOVERY SERVICES INC
NPI 1770960882
Internal Medicine - Addiction Medicine in Philadelphia, PA

Q: What is Medically Assisted Recovery Services Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Active since April 28, 2015

10802 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 969-6277(215) 856-7313 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Medically Assisted Recovery Services Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICALLY ASSISTED RECOVERY SERVICES INC (NPI 1770960882) is a healthcare organization registered as an addiction medicine in Philadelphia, Pennsylvania and active in the NPI registry since April 2015. The organization lists Jan N Widerman, Physician, as its authorized official.

NPPES Registry Identity

NPI1770960882

Entity TypeOrganization

Primary Taxonomy207RA0401X

Legal Business NameMEDICALLY ASSISTED RECOVERY SERVICES INC

Location Address10802 BUSTLETON AVEPhiladelphia, PA 19116-3302

Mailing Address10802 Bustleton AvePhiladelphia, PA 19116-3302 · (215) 969-6277 · Fax (215) 856-7313

Phone(215) 969-6277

Fax(215) 856-7313

Organization SubpartNo

Authorized OfficialJan N WidermanPhysician · (215) 969-6277

Enumeration DateApril 28, 2015

Last NPPES UpdateJuly 6, 2015

✔ NPI 1770960882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in PA · OS004029L

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

10802 BUSTLETON AVE, Philadelphia, PA 19116

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medically Assisted Recovery Services Inc's NPI number?

The NPI number for Medically Assisted Recovery Services Inc is 1770960882. It was assigned to this organization in the NPPES registry on April 28, 2015.

Where is Medically Assisted Recovery Services Inc located?

Medically Assisted Recovery Services Inc is located at 10802 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (215) 969-6277.

What is Medically Assisted Recovery Services Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Medically Assisted Recovery Services Inc was last updated on July 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.