1336137223 NPI number — DR. MARGARET D WOOD MD

Table of content: DR. MARGARET D WOOD MD (NPI 1336137223)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336137223 NPI number — DR. MARGARET D WOOD MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WOOD
Provider First Name:
MARGARET
Provider Middle Name:
D
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336137223
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/31/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
218A SUNSET RD
Provider Second Line Business Mailing Address:
ROWANSOM DEPT. OF GENERAL INTERNAL MEDICINE
Provider Business Mailing Address City Name:
WILLINGBORO
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08046-1110
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
609-835-2900
Provider Business Mailing Address Fax Number:
856-566-6906

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
218A SUNSET RD
Provider Second Line Business Practice Location Address:
ROWANSOM DEPT. OF GENERAL INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
WILLINGBORO
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08046-1110
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
609-835-2900
Provider Business Practice Location Address Fax Number:
856-566-6906
Provider Enumeration Date:
10/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , with the licence number:  MD042715E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208M00000X , with the licence number: 25MA06868200 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0012622790011 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110186699 . This is a "RR MCR PTAN" identifier , issued by the state of ( NJ ) . This identifiers is of the category "OTHER".
  • Identifier: 7968604 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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