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Individual
WHA-JA WOO
Active
Individual
WHA-JA WOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
38812
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1301896
—
MA
Enumeration date
11/11/2006
Last updated
08/21/2014
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