Organization
ADVANCED WOUND CONCEPTS INC.
Active
Other names
Preferred Diabetics
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM J POLLACK (PRESIDENT)
(216) 595-0940
Entity
Organization
Contact information
Practice address
23366 COMMERCE PARK, SUITE 208, BEACHWOOD, OH 44122-5850
(216) 595-0940
(877) 454-7463
Mailing address
23366 COMMERCE PARK, SUITE 208, BEACHWOOD, OH 44122-5850
(216) 595-0940
(877) 454-7463
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
061-18015-4
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03784897
—
MS
05
—
2992945
—
OH
Enumeration date
04/18/2007
Last updated
09/28/2012
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