Provider Demographics
NPI:1831552892
Name:WOOD, ROBERT FRANKLIN JR (MD, MPH)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:FRANKLIN
Last Name:WOOD
Suffix:JR
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5634 CANAL BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70124-2813
Mailing Address - Country:US
Mailing Address - Phone:504-250-0069
Mailing Address - Fax:
Practice Address - Street 1:1430 TULANE AVE # SL79
Practice Address - Street 2:ROOM 6547- TRAINEE OFFICE, ROOM 6519- MAIN OFFICE
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70112-2632
Practice Address - Country:US
Practice Address - Phone:504-988-5224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-29
Last Update Date:2016-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program