| Integrated Wound Care Massachusetts Pllc | |
|
750 Woburn St Wilmington MA 01887-3480 | |
| (732) 451-4318 | |
| Not Available |
| Full Name | Integrated Wound Care Massachusetts Pllc |
|---|---|
| Speciality | General Practice |
| Location | 750 Woburn St, Wilmington, Massachusetts |
| Authorized Official Name and Position | Diane Lusas (MEMEBR) |
| Authorized Official Contact | 7324514318 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care Massachusetts Pllc 492c Cedar Ln Ste 514 Teaneck NJ 07666-1713 Ph: () - | Integrated Wound Care Massachusetts Pllc 750 Woburn St Wilmington MA 01887-3480 Ph: (732) 451-4318 |
| NPI Number | 1437629458 |
|---|---|
| Provider Enumeration Date | 12/03/2018 |
| Last Update Date | 03/13/2019 |
| Medicare PECOS PAC ID | 5991042756 |
|---|---|
| Medicare Enrollment ID | O20190201000118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437629458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Erin E O'sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558339887 PECOS PAC ID: 8628052040 Enrollment ID: I20040615000225 |
| Provider Name | Walter Kwass |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1972585008 PECOS PAC ID: 1052334489 Enrollment ID: I20081219000425 |
| Provider Name | Julie Mcgondel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487924445 PECOS PAC ID: 4789847369 Enrollment ID: I20120517000453 |
| Provider Name | Nicole A Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821423237 PECOS PAC ID: 0941512917 Enrollment ID: I20150706000086 |
| Provider Name | Meaghan Hennessey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497126692 PECOS PAC ID: 7810265204 Enrollment ID: I20170607001163 |
| Provider Name | Christine Mcmackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053792580 PECOS PAC ID: 0941568596 Enrollment ID: I20180103001230 |
| Provider Name | Connie Leung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568981504 PECOS PAC ID: 2466713300 Enrollment ID: I20180309001283 |
| Provider Name | Helen Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336630797 PECOS PAC ID: 4082960828 Enrollment ID: I20180723002986 |
| Provider Name | Diane Lusas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1730475658 PECOS PAC ID: 9032430640 Enrollment ID: I20180814000732 |
| Provider Name | Sarah Rabbett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013305515 PECOS PAC ID: 4880910074 Enrollment ID: I20181214000438 |
| Provider Name | Robert A Shertick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528606035 PECOS PAC ID: 9234565631 Enrollment ID: I20200203002296 |
| Provider Name | Rachel Rick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164042032 PECOS PAC ID: 6103240015 Enrollment ID: I20200724002333 |
| Provider Name | Cassandra K Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598369860 PECOS PAC ID: 6608282470 Enrollment ID: I20210303001645 |
| Provider Name | Maura Carney Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194330464 PECOS PAC ID: 3971911272 Enrollment ID: I20210427001403 |
| Provider Name | Kathleen Bentley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114513694 PECOS PAC ID: 9830598622 Enrollment ID: I20210527001552 |
| Provider Name | Amanda Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821606872 PECOS PAC ID: 2668872961 Enrollment ID: I20210608001828 |
| Provider Name | Donna J Remmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760082366 PECOS PAC ID: 0840688578 Enrollment ID: I20211028001648 |
| Provider Name | Carlo Kariuki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932746013 PECOS PAC ID: 3375921810 Enrollment ID: I20220613000050 |
| Provider Name | Lindsay Ann Sonis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376244756 PECOS PAC ID: 3971968512 Enrollment ID: I20230503002040 |
| Provider Name | Gehane Gajjaoui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639773500 PECOS PAC ID: 7214397298 Enrollment ID: I20230721003137 |
| Provider Name | Kristen A Prophet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639926793 PECOS PAC ID: 5092156489 Enrollment ID: I20240516001598 |
| Provider Name | Emily Goddu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013724582 PECOS PAC ID: 4284157793 Enrollment ID: I20250325003263 |
Josephine A Albano,m.d. P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Lowell St, Wilmington, MA 01887 Phone: 978-657-7911 Fax: 978-657-7914 | |
Woburn Medical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Salem St, Woburn Medical Associates Pc, Wilmington, MA 01887 Phone: 978-988-9255 Fax: 978-694-9675 |