# EVOLUTION WOUND MANAGEMENT OF NJ PC

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

## Provider details

- **NPI number:** 1366331811
- **Authorized official:** DR. JOSHUA ALAN EMDUR DO (OWNER)
- **Authorized official phone:** (720) 684-9159

## Contact information

- **Practice address:** 410 MONMOUTH AVE APT 208, LAKEWOOD, NJ 08701-3747
- **Practice address phone:** (720) 684-9159
- **Mailing address:** 410 MONMOUTH AVE APT 208, LAKEWOOD, NJ 08701-3747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2025
- **Last updated:** 06/30/2025