OrganizationActive
Advanced Wound Recovery - Boston, LLC
NPI 1316958150 · Internal Medicine Physician · Waltham, MA
Provider details
- NPI number
- 1316958150
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ikram Farooqi, Medical Director/Partner(781) 891-0030
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9 Hope Ave
Suite 130
Waltham, MA 02453-2741
Phone: (781) 891-0030
Fax: (781) 891-7030
Approximate (ZIP-level) locationGet directions
Mailing address
9 Hope Ave
Waltham, MA 02453-2741
Other names (DBA / former)
- Doing business as
- Advanced Wound Recovery of Boston
Registry dates
- Enumerated
- 2006-08-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.