Wisniewski, Peter L

Wisniewski, Peter L is an individual health care provider with primary practice located at 985 Prince Frederick Blvd Ste 201 , Prince Frederick MD 20678-3492. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wisniewski, Peter L can be contacted via phone (410) 535-2005.

Contact Information

Primary practice address
985 Prince Frederick Blvd Ste 201 Prince Frederick MD 20678-3492
Phone: (410) 535-2005
Fax: (410) 535-4850
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X D40370 Maryland
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D40370 Maryland

Profile Details

NPI number 1922157593
LBN Legal business name Wisniewski, Peter L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Feb 21st, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922157593 NPPES
Maryland Other 2148224 AETNA HMO PCP
Maryland MEDICAID 762771800 AETNA HMO PCP
Maryland Other 7720001 AETNA HMO PCP
Maryland Other 110108206 AETNA HMO PCP
Maryland Other 836794 AETNA HMO PCP
Maryland Other 52585801 AETNA HMO PCP
Maryland Other C0410016 AETNA HMO PCP
Maryland Other 2154481 AETNA HMO PCP
Maryland Other 436794 AETNA HMO PCP
Maryland Other 4461101 AETNA HMO PCP

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