| Wound Pros Medical Group | |
|
100 S Juniper St Fl 3 Philadelphia PA 19107-1316 | |
| (888) 880-3451 | |
| Not Available |
| Full Name | Wound Pros Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 100 S Juniper St Fl 3, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Pros Medical Group 4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 Ph: (818) 836-2475 | Wound Pros Medical Group 100 S Juniper St Fl 3 Philadelphia PA 19107-1316 Ph: (888) 880-3451 |
| NPI Number | 1124642996 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124642996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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