MEDICARE: WILLIAM 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	207KA0200X	Allergy Physician	084340-1	NY

General Provider Information

NPI Number	:	1780004481
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM WOOD M.D.

Provider Business Mailing Address
First Line	:	100 WORTH AVE APT 601
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-4465
Country	:	US
Telephone Number	:	561-371-8891
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WORTH AVE APT 601
Second Line	:
City	:	PALM BEACH
State	:	FL
Zip	:	33480-4465
Country	:	US
Telephone Number	:	561-371-8891
Fax Number	:

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

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	04/21/2014

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