Organization
WOUND INSTITUTE AND RESEARCH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL FRANCIS MOORE M.D. (PRESIDENT)
(570) 961-8000
Entity
Organization
Contact information
Practice address
1000 MEADE ST, DUNMORE, PA 18512-3195
(570) 961-8000
Mailing address
1000 MEADE ST, DUNMORE, PA 18512-3195
(570) 961-8000
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
PENDING
PA
Other
Enumeration date
02/27/2007
Last updated
12/21/2012
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