Provider Demographics
NPI:1336137223
Name:WOOD, MARGARET D (MD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:D
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218A SUNSET RD
Mailing Address - Street 2:ROWANSOM DEPT. OF GENERAL INTERNAL MEDICINE
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1110
Mailing Address - Country:US
Mailing Address - Phone:609-835-2900
Mailing Address - Fax:856-566-6906
Practice Address - Street 1:218A SUNSET RD
Practice Address - Street 2:ROWANSOM DEPT. OF GENERAL INTERNAL MEDICINE
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1110
Practice Address - Country:US
Practice Address - Phone:609-835-2900
Practice Address - Fax:856-566-6906
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD042715E207RC0000X
NJ25MA06868200208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012622790011Medicaid
NJ110186699OtherRR MCR PTAN
NJ7968604Medicaid
F03925Medicare UPIN
NJ143463M4EMedicare PIN