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NPI Code Detail

MEDICARE: JARED HAROLD WOODS PT

MEDICARE: JARED HAROLD WOODS PT
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
1225100000XPhysical Therapist40QA01388300NJ

General Provider Information

NPI Number : 1265721468
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED HAROLD WOODS PT
Provider Business Mailing Address
First Line : 11 EAGLE ROCK AVE
Second Line : SUITE 201
City : EAST HANOVER
State : NJ
Zip : 07936-3167
Country : US
Telephone Number : 973-887-9000
Fax Number : 973-887-3816
Provider Business Practice Location Address
First Line : 70 HUDSON ST
Second Line : SUITE 2-A
City : HOBOKEN
State : NJ
Zip : 07030-5630
Country : US
Telephone Number : 201-533-8111
Fax Number : 201-533-8110
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2011
Last Update Date : 03/29/2011

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Directions to “ JARED HAROLD WOODS PT” Practice Location

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