Individual
DR. MARY A WOODHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-8974
(802) 524-8970
Mailing address
133 FAIRFIELD ST, SAINT ALBANS, VT 05478-1726
(802) 524-8974
(802) 524-8970
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
042-0012230
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01400031
—
NY
05
—
1019237
—
VT
01
—
11124992
CAQH PROVIDER #
—
Enumeration date
08/16/2005
Last updated
10/25/2013
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