Individual
CONNIE T WIDDOWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D O
Contact information
Practice address
4050 DUBLIN BLVD, DUBLIN, CA 94568-3112
(925) 875-6100
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-5356
(877) 738-4262
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
20A10427
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A10427
CA LICENSE
CA
Enumeration date
06/03/2008
Last updated
12/14/2021
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