Healthcare Provider Details

I. General information

NPI: 1164338802
Provider Name (Legal Business Name): HUDSON WOUND & WELLNESS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

366 LEWELEN CIR
ENGLEWOOD NJ
07631-2021
US

IV. Provider business mailing address

366 LEWELEN CIR
ENGLEWOOD NJ
07631-2021
US

V. Phone/Fax

Practice location:
  • Phone: 310-722-5164
  • Fax:
Mailing address:
  • Phone: 310-722-5164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANDRA HOENIG
Title or Position: PRESIDENT
Credential: MD
Phone: 310-722-5164