DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ELISABETH WOOD PA

MEDICARE: ELISABETH WOOD PA
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
1363A00000XPhysician Assistant25MP00969400NJ

General Provider Information

NPI Number : 1710721931
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISABETH WOOD PA
Provider Business Mailing Address
First Line : 1455 BROAD ST STE 250
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3066
Country : US
Telephone Number : 877-532-7837
Fax Number :
Provider Business Practice Location Address
First Line : 1455 BROAD ST STE 250
Second Line :
City : BLOOMFIELD
State : NJ
Zip : 07003-3066
Country : US
Telephone Number : 877-532-7837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2024
Last Update Date : 06/11/2026

Similar Medicare Providers

1801724554 — SETH JACOB WEINSTEIN DPT
Practice Location Address:
1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066
Practice Phone: 877-532-7837
Practice Fax:
1174956593 — JEREMY L COHEN DPT, APN
Practice Location Address:
1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066
Practice Phone: 877-532-7837
Practice Fax:
1124141858 — GINO CHIAPPETTA M.D.
Practice Location Address:
1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066
Practice Phone: 877-532-7837
Practice Fax:
1003114026 — JACOB R SCHUCK PT
Practice Location Address:
1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066
Practice Phone: 732-719-7168
Practice Fax:
1851658397 — FERDINAND IANNACCONE D.O.
Practice Location Address:
1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066
Practice Phone: 877-532-7837
Practice Fax:
1124387881 — DR. SHALIN PATEL M.D.
Practice Location Address:
1455 BROAD ST STE 250
BLOOMFIELD, NJ
07003-3066
Practice Phone: 877-532-7837
Practice Fax:

Directions to “ ELISABETH WOOD PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.