Organization
WOUND CARE SPECIALISTS OF MA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BRENES (COO)
(203) 598-6045
Entity
Organization
Contact information
Practice address
945 CONCORD STREET, FRAMINGHAM, MA 01701
(203) 598-6045
(203) 879-0834
Mailing address
76 BATTERSON PARK RD STE 106, FARMINGTON, CT 06032-2571
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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