Organization
INNOVATIVE WOUND PROS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAJU JOSEPH MD (OWNER)
(617) 895-7644
Entity
Organization
Contact information
Practice address
153 S RING DOVE DR, LAS VEGAS, NV 89144-4351
(617) 895-7644
Mailing address
153 S RING DOVE DR, LAS VEGAS, NV 89144-4351
(617) 895-7644
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
09/06/2022
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