Individual
DR. JACINTA PEREZ RODRIGUEZ WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1800 MARKET ST, LEWISBURG, PA 17837-1236
(570) 524-9477
(570) 524-9492
Mailing address
20 CAMELTOWN HILL RD, DANVILLE, PA 17821-9589
(570) 275-6614
(570) 524-9492
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS008771L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016229720010
—
PA
01
—
50013428
CAPITAL BLUE CROSS - FLS
PA
01
—
716009
PA BLUE SHIELD - FLS
PA
Enumeration date
07/14/2006
Last updated
07/09/2007
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