Organization Name: | STEPHEN J WOODRUFF MD PLLC |
NPI Number: | 1205127354 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEPHEN J. WOODRUFF (OWNER) |
Mailing Address: | 22 Eastview Lane Barre |
State: | VT US |
Postal Code: | 056415317 |
Phone Number: | 8024794006 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2011 |
NPI Last Update Date: | 04/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |