Wisotsky, Benjamin Michael
Wisotsky, Benjamin Michael is an individual health care provider with primary practice located at 2121 Medical Park Dr Ste 3, Silver Spring MD 20902-4054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Wisotsky, Benjamin Michael can be contacted via phone (301) 681-3003.Contact Information
Primary practice address
2121 Medical Park Dr Ste 3
Silver Spring MD 20902-4054
Phone: (301) 681-3003
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | D69487 | Maryland |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 236247 | New York |
Profile Details
| NPI number | 1316181092 |
|---|---|
| LBN Legal business name | Wisotsky, Benjamin Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 27th, 2009 |
| Last updated | Dec 3rd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316181092 | NPPES |
| Maryland | MEDICAID | 418075500 |
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