| NPI | 1710578323 |
|---|---|
| Doing Business As | ADVANCED WOUND CENTER OF BURLINGAME |
| Entity Type | Organization |
| Authorized Contact | ANTHONY GORDON President 415-287-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |