INTEGRATED WOUND CARE MASSACHUSETTS PLLC


Address: 750 Woburn St, Wilmington, MA 01887-3480
Phone: 7324514318

INTEGRATED WOUND CARE MASSACHUSETTS PLLC (NPI# 1437629458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437629458
Entity Type Organization
Organization Name INTEGRATED WOUND CARE MASSACHUSETTS PLLC
Practice Address 750 Woburn St
Wilmington
MA 01887-3480
Mailing Address 492c Cedar Ln Ste 514
Teaneck
NJ 07666-1713
Practice Telephone 7324514318
Enumeration Date 2018-12-03
Last Update Date 2019-03-13
Authorized Official Name DR. DIANE LUSAS (MEMEBR)
Authorized Official Telephone 7324514318
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 750 WOBURN ST
City WILMINGTON
State MA
Zip Code 01887-3480

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City WILMINGTON
Zip Code 01887

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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