| NPI | 1396322111 |
|---|---|
| Other Name | ADVANCED WOUND CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN CARUSO President 215-710-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2021-04-19 |