Integrated Wound Care Connecticut Pllc
NPI #1649778762 in Southport, Connecticut
Provider Information
- NPI Number
- 1649778762
- Entity Type
- Organization
- Organization Name
- Integrated Wound Care Connecticut Pllc
- Primary Specialty
- General Practice
- Enumeration Date
- Jan 23, 2018
- Last Updated
- Mar 15, 2018
Practice Location
- Address
- 930 MILL HILL TER
- City
- Southport
- State
- Connecticut
- ZIP Code
- 06890-1265
- Phone
- (718) 705-6010
Authorized Official
- Name
- MICHAEL M GINSBURG
- Title
- PRESIDENT
- Phone
- (718) 963-3495
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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