Individual
JUSTIN WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(207) 350-5325
Mailing address
PO BOX 1418, INTERVALE, NH 03845-1418
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2689778
MA
Other
Enumeration date
04/12/2020
Last updated
04/12/2020
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