Provider Demographics
NPI:1669530804
Name:MWAISELA, FRANCIS JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JOHN
Last Name:MWAISELA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7801 YORK RD
Mailing Address - Street 2:SUITE 342
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7446
Mailing Address - Country:US
Mailing Address - Phone:410-321-6055
Mailing Address - Fax:410-321-6056
Practice Address - Street 1:7801 YORK RD
Practice Address - Street 2:SUITE 342
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7446
Practice Address - Country:US
Practice Address - Phone:410-321-6055
Practice Address - Fax:410-321-6056
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2016-01-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00475942084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD016503400Medicaid
MDG65693Medicare UPIN
MD016503400Medicaid