Organization
CENTER FOR WOUND SCIENCE AND HEALING
Active
Parent organization
COLUMBUS LTACH HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLUMBUS LTACH HOSPITAL
Authorized official
MR. RICHARD BURGUILLOS (CFO)
(973) 587-7707
Entity
Organization
Contact information
Practice address
495 NORTH 13TH STREET, 2ND FLOOR, NEWARK, NJ 07107
(973) 497-7770
(973) 497-7785
Mailing address
495 N 13TH ST FL 2, NEWARK, NJ 07107-1317
(973) 497-7770
(973) 497-7785
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
—
—
284300000X
Special Hospital
Primary
—
—
Other
Enumeration date
08/02/2013
Last updated
08/02/2013
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