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Individual
DR. LEONARD WISOTSKY
Active
Individual
DR. LEONARD WISOTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0422
MD
213E00000X
Podiatrist
290
DC
213E00000X
Podiatrist
373
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036217
ANTHEM BCBS OF VA
—
01
—
08378
AMERIGROUP/AMERICAID
—
01
—
2130326
MAMSI
—
01
—
27496
PRIORITY PARTNERS
—
01
—
36911001
BLUE CROSS BLUE SHIELD
MD
01
—
4718680001
DMERC
—
01
—
493157
HEALTHLINK NCPPO
—
01
—
521093122
FIRST HEALTH
—
05
—
602548000
—
MD
01
—
7020305P
CIGNA PPO
—
01
—
7531019
AETNA
—
01
—
80850001
BLUE CROSS BLUE SHIELD NC
—
01
—
81581
NATIONAL CAPITAL PPO
—
Enumeration date
10/03/2005
Last updated
09/27/2010
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