# WOUND CARE SPECIALIST OF NEW JERSEY

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

## Provider details

- **NPI number:** 1760797930
- **Authorized official:** JANSEN MACALINDONG (CONSULTANT)
- **Authorized official phone:** (917) 829-5301

## Contact information

- **Practice address:** 824 KENNEDY BLVD., BAYONNE, NJ 07002-2212
- **Practice address phone:** (917) 829-5301
- **Practice address fax:** (888) 796-5637
- **Mailing address:** 824 KENNEDY BLVD, BAYONNE, NJ 07002-2872
- **Mailing address fax:** (188) 796-5637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 04/23/2011