NPI 1003782137 · live from the CMS NPI Registry
Ac Woundcare LLC
Physician Assistant, Medical in Catonsville, MD. National Provider Identifier 1003782137, active.
NPI record
| NPI | 1003782137 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Medical 363AM0700X |
| Practice location | 724 Maiden Choice Ln Ste 304, Catonsville, MD 21228 |
| Practice phone | 718-362-1411 |
| Mailing address | 612 Corporate Way Ste 2m, Valley Cottage, NY 10989 |
| Enumerated | October 15, 2025 |
| Last updated | October 15, 2025 |
| Authorized official | Atemkeng Fomengia, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical primary | 363AM0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.