Tammy Lynn Wood M.S. PA-C

NPI 1215215819 - Physician Assistant - 363A00000X

NPI Details
NPI 1215215819
Gender Female
Enumeration Date 07/30/2011
Last Updated 11/03/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
2100 CORLIES AVE
SUITE 12
NEPTUNE NJ, 07753-6102, US
Phone (732) 263-7960
Fax (732) 263-7961
Business Location
2100 CORLIES AVE
SUITE 12
NEPTUNE NJ, 07753-6102, US
Phone (732) 263-7960
Fax (718) 981-1856
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 014674
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According to our database, Ms. Tammy Lynn Wood M.S. PA-C NPI is 1215215819, taxonomy code is 363A00000X and license number is 014674, license state is located at New York. Tammy Lynn Wood M.S. PA-C physically located at 2100 Corlies Ave, Neptune NJ, 07753-6102. NPI Number Tammy Lynn Wood M.S. PA-C has the Individual type.

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1215215819 NPI number is provided on an as is basis without warranty of any kind. 1215215819 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy Lynn Wood M.S. PA-C are for informational purposes only.