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JAN N WIDERMAN P.C.
NPI 1962657346
Clinic/Center - Primary Care in Philadelphia, PA

Active since November 26, 2008
10800 BUSTLETON AVE, PHILADELPHIA, PA 19116(215) 934-6777(215) 934-6787 Get Directions Write a Review

NPPES record last updated: November 26, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jan N Widerman P.c. NPPES

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

JAN N WIDERMAN P.C. (NPI 1962657346) is a healthcare organization registered as a primary care in Philadelphia, Pennsylvania and active in the NPI registry since November 2008. The organization lists Jan N. Widerman, Physician, as its authorized official.

NPPES Registry Identity

NPI1962657346
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJAN N WIDERMAN P.C.
Location Address10800 BUSTLETON AVEPhiladelphia, PA 19116-3302
Mailing Address10800 Bustleton AvePhiladelphia, PA 19116-3302 · (215) 934-6777 · Fax (215) 934-6787
Phone(215) 934-6777
Fax(215) 934-6787
Organization SubpartNo
Authorized OfficialJan N. WidermanPhysician · (215) 934-6777
Enumeration DateNovember 26, 2008
✔ NPI 1962657346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in PA · OS004029L
10800 BUSTLETON AVE, Philadelphia, PA 19116
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAN NEIL WIDERMAN D.O.
Pediatrics
10800 BUSTLETON AVE
PHILADELPHIA, PA 19116
Philadelphia County (215) 934-6777

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 Jan N Widerman P.C.'s NPI number?

The NPI number for Jan N Widerman P.C. is 1962657346. It was assigned to this organization in the NPPES registry on November 26, 2008.

Where is Jan N Widerman P.C. located?

Jan N Widerman P.C. is located at 10800 Bustleton Ave, Philadelphia, PA 19116. The listed phone number is (215) 934-6777.

What is Jan N Widerman P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jan N Widerman P.C. was last updated on November 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.