Healthcare Provider Details

I. General information

NPI: 1336137223
Provider Name (Legal Business Name): MARGARET D WOOD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 07/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218A SUNSET RD ROWANSOM DEPT. OF GENERAL INTERNAL MEDICINE
WILLINGBORO NJ
08046-1110
US

IV. Provider business mailing address

218A SUNSET RD ROWANSOM DEPT. OF GENERAL INTERNAL MEDICINE
WILLINGBORO NJ
08046-1110
US

V. Phone/Fax

Practice location:
  • Phone: 609-835-2900
  • Fax: 856-566-6906
Mailing address:
  • Phone: 609-835-2900
  • Fax: 856-566-6906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD042715E
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number25MA06868200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: