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NPI Code Detail

MEDICARE: DREW WISLOSKI

MEDICARE: DREW WISLOSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1861630709
Entity Type Code : Individual
Provider Name (Legal Business Name) : DREW WISLOSKI
Provider Business Mailing Address
First Line : 19 E ORMOND AVE
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-2053
Country : US
Telephone Number : 856-428-1300
Fax Number :
Provider Business Practice Location Address
First Line : 19 E ORMOND AVE
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-2053
Country : US
Telephone Number : 856-428-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2009
Last Update Date : 02/08/2026

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Directions to “ DREW WISLOSKI ” Practice Location

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