# CAL ARUNDEL FAMILY MEDICINE, LLC

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

## Provider details

- **NPI number:** 1578891214
- **Authorized official:** DR. STANLEY JOHN WISNIEWSKI M.D. (OWNER)
- **Authorized official phone:** (410) 414-9879

## Contact information

- **Practice address:** 32 COX RD, HUNTINGTOWN, MD 20639-9278
- **Practice address phone:** (410) 414-9879
- **Practice address fax:** (410) 535-7684
- **Mailing address:** 32 COX RD, HUNTINGTOWN, MD 20639-9278
- **Mailing address phone:** (410) 414-9879
- **Mailing address fax:** (410) 535-7684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 207Q00000X | MD | Yes |

## Other

- **Enumeration date:** 11/18/2009
- **Last updated:** 01/11/2010