Individual
BRADFORD J WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1358 LUTZTOWN RD, BOILING SPRINGS, PA 17007-9302
(717) 258-3274
(717) 258-0311
Mailing address
1358 LUTZTOWN RD, BOILING SPRINGS, PA 17007-9302
(717) 258-3274
(717) 258-0311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD024822E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01625501
CAPITAL BLUE CROSS
PA
05
—
0810486
—
PA
01
—
1734461
CIGNA
PA
01
—
810559
AETNA
PA
01
—
P003033
GATEWAY
PA
01
—
WO141016
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/11/2006
Last updated
12/17/2007
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