Organization
INTEGRATED WOUND CARE MASSACHUSETTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE LUSAS MD (MEMEBR)
(732) 451-4318
Entity
Organization
Contact information
Practice address
750 WOBURN ST, WILMINGTON, MA 01887-3480
(732) 451-4318
Mailing address
492C CEDAR LN STE 514, TEANECK, NJ 07666-1713
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
03/13/2019
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