Individual
MARY WOODWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 CENTRE ST, DEPARTMENT OF MEDICINE, ROSLINDALE, MA 02131-1011
(617) 363-8449
Mailing address
1200 CENTRE ST, DEPARTMENT OF MEDICINE, ROSLINDALE, MA 02131-1011
(617) 363-8449
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN141789
MA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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