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Individual

DR. MICHAEL DAVID WIDLITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1162 WATERWHEEL DR, YARDLEY, PA 19067-4549
(215) 493-8181
Mailing address
1162 WATERWHEEL DR, YARDLEY, PA 19067-4549
(215) 493-8181

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
25MA04378300
NJ
207Y00000X
Otolaryngology Physician
Primary
MD030022E
PA

Other

Enumeration date
07/31/2013
Last updated
07/31/2013
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