Organization
CHARLES WISNIEWSKI FAMILY PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WISNIEWSKI DO (PSYCHIATRIST)
(267) 225-8565
Entity
Organization
Contact information
Practice address
701 E CATHEDRAL RD, PHILADELPHIA, PA 19128-2128
(267) 225-8565
Mailing address
701 E CATHEDRAL RD STE 45, PHILADELPHIA, PA 19128-2128
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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