| NPI | 1205641974 |
|---|---|
| Doing Business As | BEAU PEAU WOUND CARE |
| Entity Type | Organization |
| Authorized Contact | LAURA CROTTY Owner 201-212-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-02-10 |
| Last Update Date | 2025-03-03 |