Organization Name: | WOUND INSTITUTE AND RESEARCH CENTER |
NPI Number: | 1043347230 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL FRANCIS MOORE (PRESIDENT) |
Mailing Address: | 1000 Meade St Dunmore |
State: | PA US |
Postal Code: | 185123195 |
Phone Number: | 5709618000 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 12/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | PENDING |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |