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Individual
SAMUEL WOODWORTH
Active
Individual
SAMUEL WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD22900
ME
390200000X
Student in an Organized Health Care Education/Training Program
268521
MA
Other
Enumeration date
06/13/2016
Last updated
07/16/2019
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