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

Mark D Widome, MD

Individual provider Pediatrics Physician · NPI 1558311191

Mark D Widome, MD is a Pediatrics Physician in Hershey, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

35 Hope Dr Ste 102
Hershey, PA 17033-2086
Phone: (717) 531-7300
Fax: (717) 531-3527
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence MD015734E (PA)

Record details

NPI number1558311191
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESApril 4, 2014
Mailing address500 University Dr, Mc A410, Hershey, PA 17033-2360

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