Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery |
| NPI # | 1770350282 |
| LBN Legal business name | ANGELES WOUND CARE INSTITUTE LLC |
| Authorized official | ADAM ANGELES - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/05/2023 |
| Last updated | 03/19/2024 - About 2 years ago |
| Identifiers | n/a |
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