# WELLESLEY WOUND CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114325883
- **Authorized official:** IKRAM FAROOQI MD (PRESIDENT)
- **Authorized official phone:** (781) 898-7301

## Contact information

- **Practice address:** 65 WALNUT ST, SUITE 360, WELLESLEY, MA 02481-2118
- **Practice address phone:** (781) 898-7301
- **Practice address fax:** (781) 898-7302
- **Mailing address:** 78 CLAYBROOK RD, DOVER, MA 02030-2113
- **Mailing address phone:** (781) 898-7301
- **Mailing address fax:** (781) 898-7302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2014
- **Last updated:** 12/12/2014