Individual
CANDICE WIDUCH-MERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 S READING AVE STE 101, BOYERTOWN, PA 19512-1480
(610) 898-5460
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD458967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103150668
—
PA
01
—
MD458967
PA MEDICAL LICENSE
PA
Enumeration date
05/16/2013
Last updated
11/03/2025
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