# CHARLES WISNIEWSKI FAMILY PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225774177
- **Authorized official:** CHARLES WISNIEWSKI DO (PSYCHIATRIST)
- **Authorized official phone:** (267) 225-8565

## Contact information

- **Practice address:** 701 E CATHEDRAL RD, PHILADELPHIA, PA 19128-2128
- **Practice address phone:** (267) 225-8565
- **Mailing address:** 701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | NULL | Yes |
| 2084P0804X | Child & Adolescent Psychiatry Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2022
- **Last updated:** 05/12/2022