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JANET P WOODYARD MD LLC

Physicians Surgery Plastic and Reconstructive Surgery

Provider NPI: 1629235551

Organization Information:
Organization Name:  JANET P WOODYARD MD LLC
Organization is not Subpart
Authorized Official:  JANET P WOODYARD  OWNER  410-363-9000

Practice Location:
20 CROSSROADS DR SUITE 12 OWINGS MILLS, MD 21117-5419 US
Tel: 410-363-9000  Fax: 410-363-9380

Business Mailing Address:
20 CROSSROADS DR SUITE 12 OWINGS MILLS, MD 21117-5419 US
Tel: 410-363-9000  Fax: 410-363-9380

NPI Information:
NPI: 1629235551
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2086S0122XPhysicians
Surgery
Plastic and Reconstructive Surgery
MD

Other Provider Identifiers:

IssuerNumberStateType
CAREFIRSTA801 0001MD01
CAREFIRSTA801 0001DC01
RAILROAD MEDICAREDO6928GA01
MEDICARE129986MD01



American Medical Association 2012 taxonomy code information

Code: 2086S0122X

Type:

Classification:



Definition:



MEDICAL JOBS MD - Page 1

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