Individual
DR. CRAIG PETER WIDNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-4919
(603) 663-4984
Mailing address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
45338
CO
208000000X
Pediatrics Physician
45338
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94056595
—
CO
Enumeration date
08/13/2006
Last updated
08/21/2009
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