Individual
MS. TAMMY LYNN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. PA-C
Contact information
Practice address
2100 CORLIES AVE, SUITE 12, NEPTUNE, NJ 07753-6102
(732) 263-7960
(732) 263-7961
Mailing address
1945 STATE ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 413-3626
(732) 776-2344
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00317700
NJ
Other
Enumeration date
07/30/2011
Last updated
01/08/2020
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