| 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. |
|---|---|
| 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 |
|---|---|
| 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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