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Organization
INTEGRATED WOUND CARE MARYLAND LLC
Active
Organization
INTEGRATED WOUND CARE MARYLAND LLC
Active
Other names
INTEGRATED WOUND CARE MANAGEMENT MARYLAND LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LUSAS MD (MEMBER)
(732) 451-4318
Entity
Organization
Contact information
Practice address
85 HOSPITAL RD, PRINCE FREDERICK, MD 20678-4018
(201) 870-1194
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
10/11/2019
Last updated
02/23/2022
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