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Individual

DR. PHILIP G WOODHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
20 PROSPECT AVE, SUITE 715, HACKENSACK, NJ 07601-1997
(201) 881-0721
(201) 881-0725
Mailing address
452 OLD HOOK RD, 2ND FLOOR, EMERSON, NJ 07630-1381
(201) 666-3900
(201) 261-0505

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA67550
NJ

Other

Enumeration date
02/16/2007
Last updated
08/24/2015
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