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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 Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JARED M WIDELL · (Male)

NPI # 1417994716
Status Active
Credentials MD
Entity Individual
Enumeration date 06/02/2006
Last updated 04/13/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • DC License # MD034608
  • NY License # 176591
  • DC Medicaid 035391600
  • MD Medicaid 403555100
  • VA Medicaid 010039991
Hospital affiliation(s)
  • CORTLAND REGIONAL MEDICAL CENTER INC - (Acute Care)
    134 HOMER AVENUE
    CORTLAND, NY 13045
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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