Organization
SHELDON WIDLAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELDON WIDLAN MD (PHYSICIAN-PRESIDENT)
(724) 539-8517
Entity
Organization
Contact information
Practice address
1100 LIGONIER ST, SUITE 201, LATROBE, PA 15650-1917
(724) 539-8577
(412) 241-4325
Mailing address
1100 LIGONIER ST, SUITE 201, LATROBE, PA 15650-1917
(724) 539-8577
(412) 241-4325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD019695E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
63633
—
PA
Enumeration date
08/09/2005
Last updated
08/22/2020
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