Healthcare Provider Details
I. General information
NPI: 1285785899
Provider Name (Legal Business Name): WOUND CURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4501 ROUTE 42 SUITE 5
TURNERSVILLE NJ
08012-1776
US
IV. Provider business mailing address
4501 ROUTE 42 SUITE 5
TURNERSVILLE NJ
08012-1776
US
V. Phone/Fax
- Phone: 856-740-9777
- Fax: 856-740-9990
- Phone: 856-740-9777
- Fax: 856-740-9990
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WW0000X |
| Taxonomy | Wound Care Registered Nurse |
| License Number | |
| License Number State | NJ |
VIII. Authorized Official
Name: DR.
AHSAN
ABDULGHANI
Title or Position: OWNER
Credential: MD
Phone: 856-740-9777