Organization
PEDIATRIC ASSOCIATES OF CHARLOTTESVILLE
Active
Other names
Kelson Physician Partners of Charlottesville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL WISMAN JR. (PHYSICIAN)
(434) 296-9161
Entity
Organization
Contact information
Practice address
1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5354
(434) 296-9161
(434) 296-1036
Mailing address
1011 E JEFFERSON ST, CHARLOTTESVILLE, VA 22902-5354
(434) 296-9161
(434) 296-1036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
11/01/2013
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