MEDICARE: DAVID ALDEN WOOD M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Y00000X	Otolaryngology Physician	72130	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053300467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID ALDEN WOOD M.D.

Provider Business Mailing Address
First Line	:	65 CEDAR ST
Second Line	:
City	:	HYANNIS
State	:	MA
Zip	:	02601-3009
Country	:	US
Telephone Number	:	508-790-0611
Fax Number	:	508-790-0589

Provider Business Practice Location Address
First Line	:	65 CEDAR ST
Second Line	:
City	:	HYANNIS
State	:	MA
Zip	:	02601-3009
Country	:	US
Telephone Number	:	508-790-0611
Fax Number	:	508-790-0589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	12/09/2011

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Directions to “ DAVID ALDEN WOOD M.D.” Practice Location

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