Organization
WJG MULTISPECIALTY CLINIC PC
Active
Organization
WJG MULTISPECIALTY CLINIC PC
Active
Other names
Local Infusion
Organization subpart
No
Provider details
NPI number
Authorized official
WOODRUFF HALL BAUM (CEO)
(646) 568-0193
Entity
Organization
Contact information
Practice address
194 PLEASANT ST STE 7, CONCORD, NH 03301-2952
(603) 208-3085
(603) 217-5371
Mailing address
PO BOX 53302, PHOENIX, AZ 85072-3302
(844) 614-2354
(844) 278-8635
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/21/2022
Last updated
08/25/2026
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