Organization
INTEGRATED WOUND CARE NEW HAMPSHIRE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE LUSAS MD (AUTHORIZED OFFICIAL)
(718) 963-3495
Entity
Organization
Contact information
Practice address
928 SOUTH ST, PORTSMOUTH, NH 03801-5421
(718) 963-3495
Mailing address
492C CEDAR LN STE 514, TEANECK, NJ 07666-1713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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