Organization
PHILIP WISOTSKY M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE KIPPLE (OFFICE MANAGER)
(301) 870-0660
Entity
Organization
Contact information
Practice address
12070 OLD LINE CENTRE #207, WALDORF, MD 20602-2567
(301) 870-0660
(301) 932-8310
Mailing address
12070 OLD LINE CENTRE #207, WALDORF, MD 20602-2567
(301) 870-0660
(301) 932-8310
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D18548
MD
Other
Enumeration date
03/14/2006
Last updated
06/21/2018
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