Organization
DR. MICHAEL WOOSTER, DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F WOOSTER DPM (OWNER)
(631) 345-5280
Entity
Organization
Contact information
Practice address
700 PATCHOGUE YAPHANK RD STE 6, MEDFORD, NY 11763-2212
(631) 345-5280
Mailing address
700 PATCHOGUE YAPHANK RD STE 6, MEDFORD, NY 11763-2212
(631) 345-5280
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
N004520
NY
Other
Enumeration date
11/26/2007
Last updated
11/09/2009
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