Renew Wound Care of Pennsylvania LLC
NPI #1194442640 in Wyncote, Pennsylvania
Provider Information
- NPI Number
- 1194442640
- Entity Type
- Organization
- Organization Name
- Renew Wound Care of Pennsylvania LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Oct 25, 2022
- Last Updated
- Jun 27, 2023
Practice Location
- Address
- 8100 WASHINGTON LN
- City
- Wyncote
- State
- Pennsylvania
- ZIP Code
- 19095-1600
- Phone
- (718) 408-8860
Authorized Official
- Name
- JOSEPH WIESENFELD
- Title
- ADMINISTRATOR
- Phone
- (718) 408-8860
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse - Wound Care — Wound Care |
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
| Internal Medicine |
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