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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

NPI Number 1194442640
LBN Legal business name RENEW WOUND CARE OF PENNSYLVANIA LLC
Authorized official JOSEPH WIESENFELD - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2022
Last updated 06/27/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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