Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES WISNIEWSKI, D.O.
Active Sole ProprietorDR. CHARLES WISNIEWSKI, D.O. is a Adolescent and Children Mental Health Clinic healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1770997587 is currently active in the NPPES registry. Verify at CMS.
Adolescent and Children Mental Health Clinic · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1770997587
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 19, 2014 (12.122495610462 yrs)
- Last Updated
- Oct 12, 2018
- License
-
OS019121 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4641 ROOSEVELT BLVDPHILADELPHIA, PA, 191242343Browse PA providers · Browse ZIP 19124
- Phone
- 2158312600
- Primary Specialty
-
Adolescent and Children Mental Health Clinic
261QM0855X
- Additional Specialty
- Adolescent and Children Mental Health Clinic
Other Adolescent and Children Mental Health Clinic Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| PAPA AMADOU SOW | — | 1407292725 |
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.