National Provider Identifier Database

JARED M WIDELL, MD – NPI #1417994716
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

JARED M WIDELL, MD
GUTHRIE CORTLAND MEDICAL CENTER
134 HOMER AVENUE
CORTLAND, NY13045
Phone: 607-756-3561
Fax: 607-756-3562
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for JARED M WIDELL

NPI Number 1417994716
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 04/13/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • DC License #: MD034608
  • NY License #: 176591
  • DC Medicaid: 035391600
  • MD Medicaid: 403555100
  • VA Medicaid: 010039991
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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