| HC Wound Management PSC | |
|
2607 Main St Benton KY 42025-7601 | |
| (732) 631-4358 | |
| (732) 631-4353 |
| Full Name | HC Wound Management PSC |
|---|---|
| Speciality | Internal Medicine |
| Location | 2607 Main St, Benton, Kentucky |
| Authorized Official Name and Position | Daniel Olivero (OWNER) |
| Authorized Official Contact | 7326314358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| HC Wound Management PSC 15 America Ave Unit 103 Lakewood NJ 08701-4583 Ph: (732) 631-4358 | HC Wound Management PSC 2607 Main St Benton KY 42025-7601 Ph: (732) 631-4358 |
| NPI Number | 1083571327 |
|---|---|
| Provider Enumeration Date | 01/08/2026 |
| Last Update Date | 01/08/2026 |
| Certification Date | 01/08/2026 |
| Medicare PECOS PAC ID | 1759864747 |
|---|---|
| Medicare Enrollment ID | O20260309000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083571327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Daniel Olivero |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902144512 PECOS PAC ID: 0446567796 Enrollment ID: I20260309000403 |
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