Individual
DR. NICOLE A. WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
28 RIVERSIDE DR, PEMBROKE, MA 02359-1937
(781) 826-8065
(781) 826-8043
Mailing address
28 RIVERSIDE DR, PEMBROKE, MA 02359-1937
(781) 826-8065
(781) 826-8043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
213942
MA
207Q00000X
Family Medicine Physician
282769
NY
207Q00000X
Family Medicine Physician
MD15206
RI
207Q00000X
Family Medicine Physician
MD20820
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0180327
—
MA
01
—
213942
TUFTS HEALTH PLAN
MA
01
—
713569
HARVARD PILGRIM
MA
01
—
J25178
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/29/2005
Last updated
01/27/2016
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