Provider Demographics
NPI:1821080839
Name:WOODWARD, ARTHUR FLETCHALL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:FLETCHALL
Last Name:WOODWARD
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3416 OLANDWOOD CT
Mailing Address - Street 2:SUITE 205
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1372
Mailing Address - Country:US
Mailing Address - Phone:301-924-3004
Mailing Address - Fax:301-570-0960
Practice Address - Street 1:3416 OLANDWOOD CT
Practice Address - Street 2:SUITE 205
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1372
Practice Address - Country:US
Practice Address - Phone:301-924-3004
Practice Address - Fax:301-570-0960
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD24190208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD351461700Medicaid
MD351461700Medicaid
MD121110Medicare PIN