Provider Demographics
NPI:1003924440
Name:WOOD, BARBARA JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JANE
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:121 MIDDLE ST
Mailing Address - Street 2:SUITE 404
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-4156
Mailing Address - Country:US
Mailing Address - Phone:207-772-8634
Mailing Address - Fax:207-772-1629
Practice Address - Street 1:121 MIDDLE ST
Practice Address - Street 2:SUITE 404
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4156
Practice Address - Country:US
Practice Address - Phone:207-772-8634
Practice Address - Fax:207-772-1629
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ME0128872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MM3147Medicare ID - Type Unspecified
MEE50287Medicare UPIN