Doctor Name: | ABBY WOODWARD |
NPI Number: | 1023368552 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | MA055731 |
Business Practice Address: | 130 S Bryn Mawr Ave Bryn Mawr, PA - 190103121 |
Business Phone Number: | 4843373583 |
Business Fax Number: | |
Mailing Address: | 11 S Church St, WEST CHESTER |
State: | PA |
Postal Code: | 193823220 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/12/2012 |
NPI Last Update Date: | 09/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA055731 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |