OrganizationWound Care Medicine PcInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address290 Lafayette Ave, Hawthorne, NJ 07506-1961(973) 427-9200PECOS EnrollmentBased on the most recent information from CMS, provider Wound Care Medicine Pc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1629794656Provider TypeOrganizationFull NameWound Care Medicine PcSubpartNoEnumeration Date10/12/2022Last Updated10/12/2022Contact InformationPractice LocationPractice Address290 Lafayette Ave, Hawthorne, NJ 07506-1961Phone(973) 427-9200FaxUnlisted FaxMailing LocationMailing Address290 Lafayette Ave, Hawthorne, NJ 07506-1961Phone(973) 427-9200FaxUnlisted FaxAuthorized OfficialNamePavon, Alex (Provider/Owner)Phone(973) 427-9200Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseUnlisted Issuer