Individual
MARIUSZ WITOLD WYSOCZANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1415 E 8TH ST STE 8, NATIONAL CITY, CA 91950-2663
(619) 434-4288
(619) 434-4315
Mailing address
1415 E 8TH ST STE 8, NATIONAL CITY, CA 91950-2663
(619) 434-4288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C55986
CA
207RC0000X
Cardiovascular Disease Physician
Primary
C55986
CA
207UN0901X
Nuclear Cardiology Physician
C55986
CA
Other
Enumeration date
07/18/2008
Last updated
08/30/2023
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