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Organization
INTEGRATED WOUND CARE NEW HAMPSHIRE PLLC
Active
Organization
INTEGRATED WOUND CARE NEW HAMPSHIRE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LUSAS MD (AUTHORIZED OFFICIAL)
(718) 963-3495
Entity
Organization
Contact information
Practice address
928 SOUTH ST, PORTSMOUTH, NH 03801-5421
(718) 963-3495
Mailing address
492C CEDAR LN STE 514, TEANECK, NJ 07666-1713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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