Organization · Type 2 NPI
Wound Pros Medical Group
General Practice Physician · Philadelphia, PA
NPI number
1124642996
Active
Practice location
100 S Juniper St Fl 3
Philadelphia, PA 19107-1316
Mailing address
4640 Admiralty Way Ste 500
Marina Del Rey, CA 90292-6636
Other practice locations
- 1500 Market Street 12th Floor, East Tower, Philadelphia, PA 19102-2152 · (818) 836-2475
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1124642996
Wound Pros Medical Group's National Provider Identifier is 1124642996, issued on Jun 8, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 1, 2022.