Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | EC-05-013 | ME |
N | 111NI0900X | Internist | EC-05-013 | ME |
Y | 207RI0200X | Infectious Disease | MD18884 | ME |
NPI | 1093884710 |
---|---|
Provider Name | Dr. Emily V Wood |
First Address | South Portland, ME 04106 |
Second Address | South Portland, ME 04106-1718 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/11/2006 |
Last Update Date | 31/01/2019 |