Provider Demographics
NPI:1740448737
Name:WOOD, DEBRA LEE (MD)
Entity type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:LEE
Last Name:WOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7 WATERVIEW LN
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:NJ
Mailing Address - Zip Code:07869-3334
Mailing Address - Country:US
Mailing Address - Phone:973-989-5010
Mailing Address - Fax:973-989-6960
Practice Address - Street 1:7 WATERVIEW LN
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:NJ
Practice Address - Zip Code:07869-3334
Practice Address - Country:US
Practice Address - Phone:973-989-5010
Practice Address - Fax:973-989-6960
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06195700208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology