Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Medically Assisted Recovery Services Inc

Organization Addiction Medicine (Internal Medicine) Physician · NPI 1770960882

Medically Assisted Recovery Services Inc is an Addiction Medicine (Internal Medicine) Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2015.

Licensed in
PA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10802 Bustleton Ave
Philadelphia, PA 19116-3302
Phone: (215) 969-6277
Fax: (215) 856-7313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Internal Medicine) Physician (primary) Taxonomy 207RA0401X · Licence OS004029L (PA)

Record details

NPI number1770960882
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jan Widerman — Physician · (215) 969-6277
NPI enumeratedApril 28, 2015
Last updated in NPPESJuly 6, 2015
Mailing address10802 Bustleton Ave, Philadelphia, PA 19116-3302

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