Individual
DR. PHILIP WISOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11350 PEMBROOKE SQ STE 311, WALDORF, MD 20603-4809
(301) 870-0660
(301) 932-8310
Mailing address
11350 PEMBROOKE SQ STE 311, WALDORF, MD 20603-4809
(301) 870-0660
(301) 932-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D18545
MD
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
D18545
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110167788
RR MEDICARE
—
05
—
960821400
—
MD
Enumeration date
06/23/2005
Last updated
11/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us