Organization
DEIRDRE WOOD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEIRDRE WOOD MD (OWNER)
(267) 731-1333
Entity
Organization
Contact information
Practice address
8001 ROOSEVELT BOULEVARD, SMYLIE TIMES BLDG; SUITE 307, PHILADELPHIA, PA 19152-3039
(267) 731-1333
(267) 731-1284
Mailing address
8001 ROOSEVELT BOULEVARD, SMYLIE TIMES BLDG; SUITE 307, PHILADELPHIA, PA 19152-3039
(267) 731-1333
(267) 731-1284
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
PA
363A00000X
Physician Assistant
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7018518
AETNA
PA
Enumeration date
09/07/2006
Last updated
02/19/2014
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