Individual
ROGER F. WIDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 606-1325
Mailing address
PO BOX 29234, NEW YORK, NY 10087-9234
(212) 606-1325
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
199588
NY
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
199588
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01580336
—
NY
Enumeration date
07/17/2006
Last updated
04/27/2021
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