Organization
WOUND PROS MASSACHUSETTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER AYODELE OTIKO MD (PRESIDENT)
(818) 836-2475
Entity
Organization
Contact information
Practice address
101 FEDERAL STREET, STE 1900, BOSTON, MA 02110
(888) 880-3451
Mailing address
4640 ADMIRALTY WAY STE 500, MARINA DEL REY, CA 90292-6636
(818) 836-2475
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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