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NPI Code Detail

MEDICARE: HENRI T WOODMAN M.D.

MEDICARE: HENRI T WOODMAN M.D.
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
1207RG0100XGastroenterology Physician128449NY

General Provider Information

NPI Number : 1437107232
Entity Type Code : Individual
Provider Name (Legal Business Name) : HENRI T WOODMAN M.D.
Provider Business Mailing Address
First Line : 5225 SHERIDAN DR
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-3573
Country : US
Telephone Number : 716-626-2644
Fax Number : 716-626-2660
Provider Business Practice Location Address
First Line : 5225 SHERIDAN DR
Second Line :
City : WILLIAMSVILLE
State : NY
Zip : 14221-3573
Country : US
Telephone Number : 716-626-2644
Fax Number : 716-626-2660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 06/19/2017

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Directions to “ HENRI T WOODMAN M.D.” Practice Location

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