Search › Pennsylvania › 261QM0855X
Charles Wisniewski, D.O
NPI 1770997587 · on the registry since 2014 · sole proprietor
Practice
- Address
- 4641 Roosevelt Blvd
Philadelphia, PA 19124 - Phone
- (215) 831-2600
- Organisation at this address
- Tenet Health Systems
Temple Physicians Inc.
Path (People Acting To Help), Inc
Path (People Acting To Help), Inc.
Philadelphia Psychological ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 103
Additional practice sites
- 130 S Bryn Mawr Ave, Bryn Mawr, PA
Registry record
- Primary taxonomy
- 261QM0855X
261QM0855X
- Also registered as
- Psychiatry
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-10-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania