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NPI Code Detail

MEDICARE: DR. NICOLE A. WOOD MD

MEDICARE: DR. NICOLE A. WOOD MD
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
1207Q00000XFamily Medicine Physician213942MA
2207Q00000XFamily Medicine Physician282769NY
3207Q00000XFamily Medicine PhysicianMD15206RI
4207Q00000XFamily Medicine PhysicianMD20820ME

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2713569OTHERMAHARVARD PILGRIM
3213942OTHERMATUFTS HEALTH PLAN
4J25178OTHERMABLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1053398040
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICOLE A. WOOD MD
Provider Business Mailing Address
First Line : 28 RIVERSIDE DR
Second Line :
City : PEMBROKE
State : MA
Zip : 02359-1937
Country : US
Telephone Number : 781-826-8065
Fax Number : 781-826-8043
Provider Business Practice Location Address
First Line : 28 RIVERSIDE DR
Second Line :
City : PEMBROKE
State : MA
Zip : 02359-1937
Country : US
Telephone Number : 781-826-8065
Fax Number : 781-826-8043
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 01/27/2016

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Practice Fax: 781-826-8043

Directions to “ DR. NICOLE A. WOOD MD” Practice Location

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