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NPI Code Detail

MEDICARE: DR. ERIC JOSEPH WIDMAIER MD

MEDICARE: DR. ERIC JOSEPH WIDMAIER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianD0061822MD
2207Q00000XFamily Medicine PhysicianMED-PHYS-LIC-168527MT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568416824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC JOSEPH WIDMAIER MD
Provider Business Mailing Address
First Line : 300 BYRN ST
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-1908
Country : US
Telephone Number : 410-228-5511
Fax Number : 410-228-1061
Provider Business Practice Location Address
First Line : 300 BYRN ST
Second Line :
City : CAMBRIDGE
State : MD
Zip : 21613-1908
Country : US
Telephone Number : 410-228-5511
Fax Number : 410-228-1061
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 04/16/2026

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Directions to “ DR. ERIC JOSEPH WIDMAIER MD” Practice Location

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