Active NPIOrganization

Integrated Wound Care Maryland LLC

General Practice in Prince Frederick, Maryland

NPI Number1154963056
Practice location
85 Hospital RD, Prince Frederick, MD 20678-4018
Fax
—
Last updated
February 23, 2022

Integrated Wound Care Maryland LLC is a healthcare organization based in Prince Frederick, MD. Integrated Wound Care Maryland LLC practices in Prince Frederick, MD. The NPI Number for Integrated Wound Care Maryland LLC is 1154963056. The current practice location address for Integrated Wound Care Maryland LLC is 85 Hospital RD, Prince Frederick, MD 20678-4018 and can be reached out via phone at 201-870-1194.

Provider Profile Details

NPI Number
1154963056
Provider Name
Integrated Wound Care Maryland LLC
Provider Entity Type
Organization
Address
85 Hospital RD, Prince Frederick, MD 20678-4018
Phone Number
201-870-1194
Primary Taxonomy
General Practice · 208D00000X
Organization Subpart
No
Authorized Official
Diane Lusas, MD · Member · 732-451-4318
Other Names
Integrated Wound Care Management Maryland LLC (Other Name)
Provider Enumeration Date
October 11, 2019
Last Update Date
February 23, 2022
Certification Date
February 23, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Hospital RD
Prince Frederick, MD 20678-4018
Zip
20678-4018
Phone Number
201-870-1194
Prince Frederick, MD 20678Get directions →

Provider Business Mailing Address Details

Address
492C Cedar Ln Ste 514
Teaneck, NJ 07666-1713
City
Teaneck
State
NJ
Zip
07666-1713

License Information

Taxonomy
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Integrated Wound Care Maryland LLC?

The NPI number of Integrated Wound Care Maryland LLC is 1154963056. It was assigned on October 11, 2019 and is currently active in the NPPES registry.

What is the specialty of Integrated Wound Care Maryland LLC?

Integrated Wound Care Maryland LLC is registered under the primary taxonomy General Practice (code 208D00000X).

Where does Integrated Wound Care Maryland LLC practice?

The practice location is 85 Hospital RD, Prince Frederick, MD 20678-4018. The office can be reached at 201-870-1194 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154963056 directly on the NPPES registry website.

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