| Organization Name: | DEBORAH S. WOOTEN, M.D., LLC |
| NPI Number: | 1255514923 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH SANDRA WOOTEN (OWNER) |
| Mailing Address: | 201 River St Norwell |
| State: | MA US |
| Postal Code: | 020612211 |
| Phone Number: | 7816594084 |
| Fax Number: | 7816594065 |
| NPI Enumeration Date: | 12/17/2007 |
| NPI Last Update Date: | 12/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |