Individual
SCOTT EDWARD WOODBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
6569 NORTH CHARLES STREET, SUITE 702, BALTIMORE, MD 21204
(410) 828-5420
(410) 821-5833
Mailing address
1 NORTH MAIN STREET, BEL AIR, MD 21014
(410) 803-0788
(410) 803-1859
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01023
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288268000
—
MD
01
—
E602
NATIONAL CAP BLUE
MD
01
—
H792
BLUE CROSS
MD
Enumeration date
10/27/2006
Last updated
01/24/2023
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