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NPI Profile for PENNSYLVANIA ADVANCED WOUND CARE AND LIMB SALVAGE PLLC in EXTON, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Wound Care |
163WW0000X | |||
Family |
363LF0000X | 50 | Nurse Practitioner | |
Podiatric |
261QP1100X | |||
Podiatrist |
213E00000X | 48 | Podiatry | |
Vascular Surgery |
2086S0129X | 76 | Physician/Peripheral Vascular Disease |
| NPI Number | 1881348662 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/09/2022 | |
| Last updated | 02/09/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PENNSYLVANIA ADVANCED WOUND CARE AND LIMB SALVAGE PLLC