Organization
NORTHEAST SURGICAL WOUND CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA AVSEC (PRACTICE MANAGER)
(216) 643-2780
Entity
Organization
Contact information
Practice address
6100 ROCKSIDE WOODS BLVD, SUITE 425, INDEPENDENCE, OH 44131-2366
(216) 643-2780
(216) 524-0111
Mailing address
6100 ROCKSIDE WOODS BLVD, SUITE 425, INDEPENDENCE, OH 44131-2366
(216) 643-2780
(216) 524-0111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119380
—
OH
Enumeration date
06/17/2006
Last updated
01/31/2014
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