NPI 1871063891

Integrated Wound Care Rhode Island PLLC

Organisation General Practice Physician Providence, RI

Practice location

Address: 50 Maude St, Providence, RI 02908-4325
Phone: (732) 451-4318
Mailing address: 492c Cedar Ln STE 514, Teaneck, NJ 07666-1713

Authorised official

Name: Diane Lusas
Title: Member
Phone: (732) 451-4318

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Rhode Island →

Registry record

NPI: 1871063891
Entity type: Organization
NPI issued: 3 Dec 2018
Record last updated: 28 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.