Individual
DR. SHLOMO WIDDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8230 LEESBURG PIKE, SUITE 630, VIENNA, VA 22182-2639
(703) 506-0300
(703) 506-0363
Mailing address
8230 LEESBURG PIKE, SUITE 630, VIENNA, VA 22182-2639
(703) 506-0300
(703) 506-0363
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101040488
VA
Other
Enumeration date
04/03/2007
Last updated
09/25/2007
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