Healthcare Provider Details

I. General information

NPI: 1528962016
Provider Name (Legal Business Name): JAMES ERIC WOODWARD RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CAPITAL WAY STE 407
PENNINGTON NJ
08534-2521
US

IV. Provider business mailing address

4313 TOWN CT N
LAWRENCEVILLE NJ
08648-4713
US

V. Phone/Fax

Practice location:
  • Phone: 609-303-4460
  • Fax: 609-303-4461
Mailing address:
  • Phone: 609-303-4460
  • Fax: 609-303-4461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number26NR22607000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: