Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP WISOTSKY, MD
DeactivatedDR. PHILIP WISOTSKY, MD is a Internal Medicine healthcare provider located in WALDORF, Maryland. NPI 1508862509 is deactivated in the NPPES registry. Verify at CMS.
Internal Medicine · WALDORF, MD
This NPI has been deactivated.
The record was deactivated on March 16, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1508862509
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2005 (0.72876712328767 yrs)
- Last Updated
- Nov 19, 2021
- Deactivated
- Mar 16, 2006
- Licenses
-
D18545 (MD)D18545 (MD)
Practice Information
- Address
-
11350 PEMBROOKE SQ STE 311WALDORF, MD, 206034809Browse MD providers · Browse ZIP 20603
- Phone
- 3018700660
- Fax
- 3019328310
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Internal Medicine
Other Internal Medicine Providers in WALDORF, MD
| Name | Credential | NPI |
|---|---|---|
| NALIN MATHUR | MD PA | 1891791935 |
| ASHVINKUMAR J PATEL | MD | 1962409151 |
| MICHAEL A LEATHERWOOD | MD | 1497747349 |
| LINDA JEFFERSON | MD | 1164415832 |
| COLLINS P SEIN | MD | 1699769554 |
| RICHARD EUGENE COOK JR. | M.D. | 1811970056 |
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.