Eric Anthony Widra in Rockville - Specialist
Eric Anthony Widra - NPI 1538154356
Eric Anthony Widra is a Specialist in Rockville, Maryland. Eric Anthony Widra practices all healthcare services and medical treatments related to Specialist. The NPI Number for Eric Anthony Widra is 1538154356. The last update date is 2007-07-08.
Eric Anthony Widra's current location address is 15001 Shady Grove Rd, Rockville, Maryland. You can contact this provider via phone number 3013401188 and fax number 3013406478. The mailing address for Eric Anthony Widra is 15001 Shady Grove Rd, Rockville, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Anthony Widra |
|---|---|
| Address | 15001 Shady Grove Rd, Rockville, Maryland |
| Phone Number | 3013401188 |
| Fax Number | 3013406478 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1538154356 |
|---|---|
| Provider Enumeration Date | 2005-09-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15001 Shady Grove Rd |
|---|---|
| City | Rockville |
| State | Maryland (MD) |
| Post Code | 208506352 |
| Phone Number | 3013401188 |
| Fax Number | 3013406478 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD20732 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Eric Anthony Widra?
The Eric Anthony Widra has been issued the NPI (National Provider Identifier) 1538154356 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Eric Anthony Widra's facilities are geographically located?
The facilities of Eric Anthony Widra are physically situated at the following location: 15001 Shady Grove Rd, Rockville, MD, 208506352.
What is Eric Anthony Widra's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Eric Anthony Widra is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538154356 to Eric Anthony Widra?
The Eric Anthony Widra received its 1538154356 assignment from the Centers for Medicare & Medicaid Services on 2005-09-19.
When was the information related to Eric Anthony Widra most recently updated or refreshed?
The details pertaining to the Eric Anthony Widra, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.