Organization
ERIC J. WOODARD, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC J WOODARD M.D. (OWNER)
(617) 754-6576
Entity
Organization
Contact information
Practice address
125 PARKER HILL AVE, CONVERSE 5, ROXBURY CROSSING, MA 02120-2847
(617) 754-6576
(617) 754-6415
Mailing address
125 PARKER HILL AVE, CONVERSE 5, ROXBURY CROSSING, MA 02120-2847
(617) 754-6576
(617) 754-6415
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
82094
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082094
TUFTS
MA
05
—
9712500
—
MA
01
—
AA5407
HPHC
MA
01
—
M18408
BCBS MA
MA
Enumeration date
10/07/2005
Last updated
10/14/2014
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