Organization
REGENWELL WOUND SPECIALTY GROUP - CENTRAL MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVIAN TAN NP (OWNER)
(443) 983-7125
Entity
Organization
Contact information
Practice address
100 WEST RD STE 300, TOWSON, MD 21204-2370
(240) 203-7988
(240) 203-7988
Mailing address
100 WEST RD STE 300, TOWSON, MD 21204-2370
(240) 203-7988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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