Healthcare Provider Details

I. General information

NPI: 1912957952
Provider Name (Legal Business Name): MARIBEL R WOODWARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HIGH ST
SEAFORD DE
19973-3940
US

IV. Provider business mailing address

21444 CARMEAN WAY
GEORGETOWN DE
19947-4572
US

V. Phone/Fax

Practice location:
  • Phone: 302-855-1233
  • Fax: 302-855-2025
Mailing address:
  • Phone: 302-855-1233
  • Fax: 302-855-2025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number072853
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC1-0007927
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: