Organization · Type 2 NPI
Integrated Wound Care Connecticut PLLC
General Practice Physician · Southport, CT
NPI number
1649778762
Active
Practice location
930 Mill Hill Ter
Southport, CT 06890-1265
Mailing address
492C Cedar Ln Ste 514
Teaneck, NJ 07666-1713
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 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.
2 other providers at this address
About NPI 1649778762
Integrated Wound Care Connecticut PLLC's National Provider Identifier is 1649778762, issued on Jan 23, 2018. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Southport, CT. The record was last updated on Mar 15, 2018.