Individual
MARYJO WIDDERSHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 E HIGH ST, POTTSTOWN, PA 19464
(610) 327-7000
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NC 11747-2358
(516) 945-3000
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN605325
PA
Other
Enumeration date
03/10/2014
Last updated
03/27/2015
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