Provider Demographics
NPI:1912337650
Name:WOOD, JONATHAN HAROLD (VMD)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:HAROLD
Last Name:WOOD
Suffix:
Gender:M
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 DELANCEY ST
Mailing Address - Street 2:ROOM 3012
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5052
Mailing Address - Country:US
Mailing Address - Phone:215-573-4064
Mailing Address - Fax:215-898-6473
Practice Address - Street 1:3900 DELANCEY ST
Practice Address - Street 2:ROOM 3012
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5052
Practice Address - Country:US
Practice Address - Phone:215-573-4064
Practice Address - Fax:215-898-6473
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian