Organization · NPI-2

Advanced Wound Care

Internal Medicine · Hackensack, NJ

NPI number1922573740
StatusActive
Last updated in NPPESOct 8, 2018

Details

NPI
1922573740
Entity type
Organization (NPI-2)
Legal business name
Advanced Wound Care
Organization subpart
No
Enumeration date
Oct 8, 2018
Last updated
Oct 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

140 Prospect Ave Apt 8e
Hackensack, NJ 07601-2248

Phone 914-907-5770

Mailing address

140 Prospect Ave Apt 8e
Hackensack, NJ 07601-2248

Phone 914-907-5770

Authorized official

Seby Jacob
Owner
9149075770

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