Organization
JOHN WOODALL, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN P WOODALL MD (MEDICAL DIRECTOR)
(978) 549-1756
Entity
Organization
Contact information
Practice address
13 BERKSHIRE RD, SANDY HOOK, CT 06482-1361
(203) 491-2577
Mailing address
49 DEER HILL AVE, DANBURY, CT 06810-7902
(978) 549-1756
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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