Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jan N Widerman PC

Organization Primary Care Clinic/Center · NPI 1962657346

Jan N Widerman PC is a Primary Care Clinic/Center in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.

Licensed in
PA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10800 Bustleton Ave
Philadelphia, PA 19116-3302
Phone: (215) 934-6777
Fax: (215) 934-6787
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence OS004029L (PA)

Record details

NPI number1962657346
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Widerman — Physician · (215) 934-6777
NPI enumeratedNovember 26, 2008
Last updated in NPPESNovember 26, 2008
Mailing address10800 Bustleton Ave, Philadelphia, PA 19116-3302

Other providers in Philadelphia