Provider Demographics
NPI:1295847564
Name:WOOD, WILLIAM H JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:WOOD
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:28474 KINGS WOODS DR
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-8284
Mailing Address - Country:US
Mailing Address - Phone:410-822-4842
Mailing Address - Fax:
Practice Address - Street 1:501 DUTCHMANS LN
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-3342
Practice Address - Country:US
Practice Address - Phone:410-822-8888
Practice Address - Fax:410-822-6449
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD008715207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE00514Medicare UPIN
MD249MMedicare ID - Type Unspecified