Organization
WOUND HEALING OF ESSEX, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUES GEORGES LOSMAN M.D. (OFFICER)
(973) 274-1240
Entity
Organization
Contact information
Practice address
151 BRENTWOOD DR, SOUTH ORANGE, NJ 07079-1132
(973) 274-1240
Mailing address
151 BRENTWOOD DR, SOUTH ORANGE, NJ 07079-1132
(973) 274-1240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710301
—
NJ
Enumeration date
05/22/2013
Last updated
05/22/2013
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