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Contact Information

KIM R MARTIN WIDAWSKY, ANPC
328 W SAINT GEORGES AVE
LINDEN, NJ07036-5638
 Phone: 908-925-2273
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Occupational Health

163WX0106X
Indicates primary specialty

NPI Profile & details for KIM R MARTIN WIDAWSKY · (Female)

NPI # 1053484147
Status Active
Credentials ANPC
Entity Individual
Enumeration date 11/16/2006
Last updated 02/05/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NN06683300
  • NY License # 300344
  • NJ Other 26NN06683300 ADVANCE PRACTICE NURSE
  • NY Other F300344-1 NURSE PRACTITIONER IN ADULT HEALTH
  • NY Other 300344 RN ANP LICENSE
Hospital affiliation(s) Not Available
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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