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Contact Information

RENEW WOUND CARE OF PENNSYLVANIA LLC
8100 WASHINGTON LN
WYNCOTE, PA19095-1600
 Phone: 718-408-8860
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for RENEW WOUND CARE OF PENNSYLVANIA LLC · (Female)

NPI Number 1194442640
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2022
Last updated 06/27/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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