Healthcare Provider Details

I. General information

NPI: 1598261828
Provider Name (Legal Business Name): EMMA MARY WOOD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 SANDERSON ST FL 2
GREENFIELD MA
01301-2778
US

IV. Provider business mailing address

280 CHESTNUT ST FL 2
SPRINGFIELD MA
01199-1001
US

V. Phone/Fax

Practice location:
  • Phone: 413-773-2022
  • Fax: 413-773-4945
Mailing address:
  • Phone: 413-794-3909
  • Fax: 413-794-1629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number287593
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: