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Individual

DR. SHELLY WONG WOODWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
111 CEMETERY RD, BLAIRSTOWN, NJ 07825-3028
(908) 459-4509
(908) 459-4509
Mailing address
111 CEMETERY RD, BLAIRSTOWN, NJ 07825-3028
(908) 459-4509
(908) 459-4509

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05668700
NJ
208100000X
Physical Medicine & Rehabilitation Physician
D37215
MD

Other

Enumeration date
09/26/2008
Last updated
09/26/2008
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