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NPI Code Detail

MEDICARE: SAMUEL WOODS M.D.

MEDICARE:   SAMUEL  WOODS  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
1208000000XPediatrics Physician35.145331OH

General Provider Information

NPI Number : 1720400526
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL WOODS M.D.
Provider Business Mailing Address
First Line : 1149 LINCOLN WAY E
Second Line :
City : MASSILLON
State : OH
Zip : 44646-6950
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1149 LINCOLN WAY E
Second Line :
City : MASSILLON
State : OH
Zip : 44646-6950
Country : US
Telephone Number : 330-830-7900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2014
Last Update Date : 04/13/2026

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Directions to “ SAMUEL WOODS M.D.” Practice Location

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