Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 33399 | SC |
N | 207RP1001X | Pulmonary Disease | 33399 | SC |
Y | 207RP1001X | Pulmonary Disease | MD16877 | RI |
NPI | 1023139987 |
---|---|
Provider Name | Dr. Maureen Wood |
First Address | Boonton, NJ 07005-2057 |
Second Address | Boonton, NJ 07005-2057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2007 |
Last Update Date | 22/04/2020 |