ADVANCED WOUND RECOVERY - BOSTON LLC NPI 1316958150

NPI Information

  • NPI: 1316958150
  • Provider Name: ADVANCED WOUND RECOVERY - BOSTON, LLC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED WOUND RECOVERY OF BOSTON
  • Address: 9 HOPE AVE
    SUITE 130
    WALTHAM, MA
    ZIP 02453
  • Phone: (781) 891-0030

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NPI Details

ADVANCED WOUND RECOVERY - BOSTON, LLC is an internal medicine in Waltham, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ADVANCED WOUND RECOVERY - BOSTON, LLC NPI is 1316958150. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Wound Recovery Of Boston.

The provider's business location address is:

9 HOPE AVE
SUITE 130
WALTHAM, MA
ZIP 02453-741
Phone: (781) 891-0030
Fax: (781) 891-7030

The provider's authorized official is Ikram A Farooqi .
The authorized official title is Medical Director/partner and has the following contact phone number (781) 891-0030.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19736221MEDICAIDMASSACHUSETTS
2696163OTHERMASSACHUSETTSTUFTS
33600202OTHERMASSACHUSETTSAETNA
4M18836OTHERMASSACHUSETTSBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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