Individual
JONATHAN WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 N WATER ST, LANCASTER, PA 17603-3374
(717) 299-6372
Mailing address
304 N WATER ST, LANCASTER, PA 17603-3374
(717) 299-6371
(717) 325-8057
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD473876
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT216329
PA
Other
Enumeration date
06/21/2018
Last updated
08/23/2021
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