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Individual

DR. JONATHON P WOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PICU PROFESSIONAL SERVICES EMMC, 489 STATE STREET, BANGOR, ME 04401-0404
(207) 973-8670
(207) 973-5163
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-5000

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
015978
ME

Other

Enumeration date
06/26/2006
Last updated
12/04/2017
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