Individual
DR. LEONARD WISOTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6188 OXON HILL RD, STE 804, OXON HILL, MD 20745-3113
(301) 567-5005
(301) 839-5677
Mailing address
6188 OXON HILL RD, STE 804, OXON HILL, MD 20745-3113
(301) 567-5005
(301) 839-5677
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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