| Organization Name: | AMERIWOUND PHYSICIANS NJ LLC |
| NPI Number: | 1962807156 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL BORISON (CHIEF MEDICAL OFFICER) |
| Mailing Address: | 71-10 Park Ave Apt 5p Fresh Meadows |
| State: | NY US |
| Postal Code: | 113654148 |
| Phone Number: | 2162739800 |
| Fax Number: | 4404611225 |
| NPI Enumeration Date: | 10/30/2014 |
| NPI Last Update Date: | 10/30/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |