Organization
RENEW WOUND CARE OF MAINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH WIESENFELD (ADMINISTRATOR)
(718) 408-8860
Entity
Organization
Contact information
Practice address
47 ELM ST, NORTH BERWICK, ME 03906-6792
(929) 491-7700
Mailing address
1481 MCDONALD AVE, BROOKLYN, NY 11230-4667
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
11/18/2024
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