Organization
ADVANCED WOUND TECHNOLOGIES, INC.
Active
Organization
ADVANCED WOUND TECHNOLOGIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOBBIN O BOOKMAN MBA (PRESIDENT, CEO)
(781) 353-6439
Entity
Organization
Contact information
Practice address
20 LINDEN ST, ALLSTON, MA 02134-1711
(781) 353-6439
(866) 231-5901
Mailing address
1 ADAMS PLACE, 859 WILLARD STREET, SUITE 400, QUINCY, MA 02169-7469
(781) 353-6439
(866) 231-5901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1540297
—
MA
01
—
398754
BCBS PROVIDER NUMBER
MA
01
—
8200479
EVERCARE-UHC PROVIDER #
MA
Enumeration date
12/26/2006
Last updated
06/26/2009
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