Provider Demographics
NPI:1639194202
Name:MOFFITT-WOODS, PHILIPPA H (MD)
Entity Type:Individual
Prefix:
First Name:PHILIPPA
Middle Name:H
Last Name:MOFFITT-WOODS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11510 GEORGIA AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-1925
Mailing Address - Country:US
Mailing Address - Phone:301-946-5100
Mailing Address - Fax:301-929-0348
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:301-946-5100
Practice Address - Fax:301-929-0348
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD20726207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC035778900Medicaid
VA5707307Medicaid
DC102681OtherKAISER
DC2495291OtherAETNA HMO
VA441044OtherANTHEM BCBS
DC0067OtherCAREFIRST BCBS
MD382251600Medicaid
DC5893046OtherAETNA NON HMO
DC501336OtherNCPPO
DC8196773004OtherCIGNA HMO
DC8196773004OtherCIGNA HMO
DC102681OtherKAISER
VA441044OtherANTHEM BCBS