WOUND PROS MASSACHUSETTS – NPI #1376277566
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

WOUND PROS MASSACHUSETTS is a provider located in BOSTON, MA. NPPES has assigned the NPI number 1376277566 to WOUND PROS MASSACHUSETTS on July 13, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WOUND PROS MASSACHUSETTS below.

NPI Profile for
WOUND PROS MASSACHUSETTS

NPI Number
1376277566
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WOUND PROS MASSACHUSETTS
Primary location
101 FEDERAL STREET
STE 1900
BOSTON, MA 02110
Phone: (888) 880-3451 Fax:
Mailing address
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292-6636
Phone: (818) 836-2475 Fax:
Organization Subpart
No
Authorized Official
CHRISTOPHER OTIKO
PRESIDENT
Phone: (818) 836-2475
Updated
Certification Date
Jul 01, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
332B00000X
- Durable Medical Equipment & Medical Supplies

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.