Provider Demographics
NPI:1477734630
Name:JOHN M. WOODS, M.D., P.A.
Entity Type:Organization
Organization Name:JOHN M. WOODS, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-548-3700
Mailing Address - Street 1:1201 PEMBERTON DR.
Mailing Address - Street 2:STE. 2A
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-2501
Mailing Address - Country:US
Mailing Address - Phone:410-548-3700
Mailing Address - Fax:410-548-7491
Practice Address - Street 1:1201 PEMBERTON DR.
Practice Address - Street 2:STE. 2A
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-2501
Practice Address - Country:US
Practice Address - Phone:410-548-3700
Practice Address - Fax:410-548-7491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-16
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD36589207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD633MMedicare PIN