Individual
JESSICA RACHEL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
55 N GILBERT ST, TINTON FALLS, NJ 07701-4904
(732) 842-6677
(732) 530-2946
Mailing address
55 N GILBERT ST, TINTON FALLS, NJ 07701-4904
(732) 842-6677
(732) 530-2946
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB08069000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB08069000
MEDICAL LICENSE
NJ
Enumeration date
10/03/2006
Last updated
02/22/2010
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