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Individual

DR. STEPHEN J. WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 GENERAL WING RD, RUTLAND, VT 05701-4681
(802) 773-9131
(802) 775-6141
Mailing address
71 ALLEN ST, STE 403, RUTLAND, VT 05701-4570
(802) 772-4414
(802) 772-7973

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0420010272
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02169184
NY
01
10055973
CDPHP
05
1008015
VT
01
2154018-001
CIGNA
01
263700
MVP-MOHAWK VALLEY HP
01
286237
CIGNA NH
NH
01
58194
VT BLUE CROSS BLUE SHIELD
VT
Enumeration date
03/23/2007
Last updated
07/18/2016
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