MEDICARE: ROXANNE WOEL OPHTHALMOLOGY PLLC

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
1	207W00000X	Ophthalmology Physician	MD038915	DC

General Provider Information

NPI Number	:	1598142184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROXANNE WOEL OPHTHALMOLOGY PLLC

Provider Business Mailing Address
First Line	:	2013 NEW HAMPSHIRE AVE NW
Second Line	:	#202
City	:	WASHINGTON
State	:	DC
Zip	:	20009-3452
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2013 NEW HAMPSHIRE AVE NW
Second Line	:	#202
City	:	WASHINGTON
State	:	DC
Zip	:	20009-3452
Country	:	US
Telephone Number	:	617-872-4344
Fax Number	:

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	ROXANNE T WOEL
Credential	:	MD
Telephone Number	:	617-872-4344

Provider Enumeration Date	:	05/03/2015
Last Update Date	:	06/01/2015

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