Individual
DR. ROBERT W. WOODRUFF JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
627 EASTLAND AVE SE STE 201, WARREN, OH 44484-4501
(330) 841-4661
(330) 841-4565
Mailing address
452 BROADWAY AVE, YOUNGSTOWN, OH 44504-1556
(888) 940-2722
(513) 632-8898
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35.075650
OH
208600000X
Surgery Physician
35075650W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2110870
—
OH
01
—
H153540
MEDICARE PTAN
OH
01
—
H176220
MEDICARE PTAN
OH
Enumeration date
01/18/2006
Last updated
10/28/2021
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