Malissa J Wood MD

NPI 1154312056 - Internal Medicine - 207R00000X

NPI Details
NPI 1154312056
Gender Female
Enumeration Date 10/31/2005
Last Updated 11/16/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
BOSTON MA, 02114-2696, US
Phone (617) 724-1986
Fax (617) 726-8383
Business Location
PO BOX 9142
CHARLESTOWN MA, 02129-9142, US
Phone (617) 724-0287
Fax (617) 726-2894
Taxonomy Code 207R00000X
License State Massachusetts
License Number 70796
Remove 1154312056 NPI Number

According to our database, Dr. Malissa J Wood MD NPI is 1154312056, taxonomy code is 207R00000X and license number is 70796, license state is located at Massachusetts. Malissa J Wood MD physically located at 55 Fruit St, Boston MA, 02114-2696. NPI Number Malissa J Wood MD has the Individual type.

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1154312056 NPI number is provided on an as is basis without warranty of any kind. 1154312056 is maintained by the National Plan & Provider Enumeration System. The contents of Malissa J Wood MD are for informational purposes only.