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Individual

DR. JOSEPH RICHARD WOODLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
110 REVCO RD, SOMERSET, PA 15501-7726
(412) 860-9874
(814) 443-0590
Mailing address
103 BRADFORD SQUARE DR, TRAFFORD, PA 15085-1250
(412) 860-9874
(814) 443-0590

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OEG000197
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01887557
PA
01
051407
UMWA
PA
01
1349779
PA BC BS
PA
01
1531122
GATEWAY HEALTH PLAN
PA
01
311352
UPMC
PA
01
410047141
PA RAILROAD MEDICARE
PA
01
6175207
CIGNA
PA
01
U87145
HEALTH AMERICA ADVANTRA
PA
Enumeration date
02/20/2007
Last updated
09/16/2016
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