Derek Widmayer in West Orange - General Practice

Derek Widmayer - NPI 1992803324

Derek Widmayer is a General Practice in West Orange, New Jersey. Derek Widmayer practices all healthcare services and medical treatments related to General Practice. The NPI Number for Derek Widmayer is 1992803324. The last update date is 2007-07-08.

Derek Widmayer's current location address is 769 Northfield Ave, West Orange, New Jersey. You can contact this provider via phone number 9737360111 and fax number 9733253442. The mailing address for Derek Widmayer is 769 Northfield Ave, West Orange, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Derek Widmayer
Address 769 Northfield Ave, West Orange, New Jersey
Phone Number 9737360111
Fax Number 9733253442
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1992803324
Provider Enumeration Date 2006-09-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 769 Northfield Ave
City West Orange
State New Jersey (NJ)
Post Code 70521198
Phone Number 9737360111
Fax Number 9733253442

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 21260
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Derek Widmayer

What is the unique identification code assigned to Derek Widmayer by the Centers for Medicare & Medicaid Services?

The Derek Widmayer has been issued the NPI (National Provider Identifier) 1992803324. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Derek Widmayer's physical address?

The Derek Widmayer is physically located at 769 Northfield Ave, in the city of West Orange, NJ, with the postal code 70521198.

What is the Derek Widmayer's area of specialization and corresponding taxonomy classification?

The Derek Widmayer's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

When did the Derek Widmayer receive its 1992803324?

The Derek Widmayer was issued its 1992803324 on 2006-09-20, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Derek Widmayer most recently updated or revised?

The information pertaining to Derek Widmayer, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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