Individual
DR. NELLIE DELUCIA WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
(207) 662-0111
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24810
ME
208M00000X
Hospitalist Physician
MD24810
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD24810
LICENSE
ME
Enumeration date
03/29/2018
Last updated
05/19/2022
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