Individual
ALAN GLENN WOODRUFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 LONGWOOD AVE, BADER 6, CRITICAL CARE MEDICINE, BOSTON, MA 02115-5724
(708) 207-7371
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
2017-00953
NC
208000000X
Pediatrics Physician
Primary
DR.0052733
CO
2080P0203X
Pediatric Critical Care Medicine Physician
258953
MA
Other
Enumeration date
04/01/2010
Last updated
07/24/2017
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