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Organization
WOUND CARE MEDICINE PC
Active
Organization
WOUND CARE MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEKULEO GATHERS MD (PROVIDER/OWNER)
(973) 427-9200
Entity
Organization
Contact information
Practice address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
(973) 427-9200
Mailing address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
(973) 427-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
08/22/2024
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