Individual
ADEENA RACHELLE WOODARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18103-6224
(610) 402-8900
(610) 402-5656
Mailing address
1250 S CEDAR CREST BLVD STE 110, ALLENTOWN, PA 18103-6224
(610) 402-8900
(610) 402-5656
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
OA005840
PA
363AS0400X
Surgical Physician Assistant
Primary
OA005840
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OA005840
STATE LICENSE
PA
Enumeration date
12/03/2021
Last updated
06/06/2022
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