Philip Wisotsky M.d., P.c. | |
12070 Old Line Centre #207 Waldorf MD 20602-2567 | |
(301) 870-0660 | |
(301) 932-8310 |
Full Name | Philip Wisotsky M.d., P.c. |
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Speciality | Internal Medicine |
Location | 12070 Old Line Centre #207, Waldorf, Maryland |
Authorized Official Name and Position | Debbie Kipple (OFFICE MANAGER) |
Authorized Official Contact | 3018700660 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Philip Wisotsky M.d., P.c. 12070 Old Line Centre #207 Waldorf MD 20602-2567 Ph: (301) 870-0660 | Philip Wisotsky M.d., P.c. 12070 Old Line Centre #207 Waldorf MD 20602-2567 Ph: (301) 870-0660 |
NPI Number | 1942279039 |
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Provider Enumeration Date | 03/14/2006 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942279039 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D18548 (Maryland) | Primary |
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