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Organization
ADVANCED WOUND CARE
Active
Organization
ADVANCED WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEBY JACOB MD (OWNER)
(914) 907-5770
Entity
Organization
Contact information
Practice address
140 PROSPECT AVE APT 8E, HACKENSACK, NJ 07601-2248
(914) 907-5770
Mailing address
140 PROSPECT AVE APT 8E, HACKENSACK, NJ 07601-2248
(914) 907-5770
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/08/2018
Last updated
10/08/2018
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