DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. PAUL PENCE WISMAN JR., M.D.

Active

MR. PAUL PENCE WISMAN JR., M.D. is a Pediatrics healthcare provider located in CHARLOTTESVILLE, Virginia. NPI 1235115650 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · CHARLOTTESVILLE, VA

Registration Details

NPI Number
1235115650
Provider Type
Individual
Gender
Male
NPI Issued
Dec 17, 2005 (20.613971136031 yrs)
Last Updated
Sep 29, 2012
License
0101049022 (VA)

Practice Information

Address
1011 E JEFFERSON ST
CHARLOTTESVILLE, VA, 229025354
Browse VA providers · Browse ZIP 22902
Phone
4342969161
Fax
4342961036
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in CHARLOTTESVILLE, VA

Name Credential NPI
CAROL A BOERSMA M.D. 1740286509
DR. ANN LENOX KELLAMS M.D. 1811980287
JOHN M OLSSON MD 1194710632
CLAUDIA E. SUSSDORF M.D. 1053302919
DR. CHARLES S HORN M.D. 1336130061
ELIZA T. HOLLAND M.D. 1457333544
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.