George Albert Wood in Worcester - Sports Physician

George Albert Wood - NPI 1225170665

George Albert Wood is a Sports Physician in Worcester, Massachusetts. George Albert Wood practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for George Albert Wood is 1225170665. The last update date is 2007-07-08.

George Albert Wood's current location address is 580 Lincoln St, Worcester, Massachusetts. You can contact this provider via phone number 5088532790 and fax number 5088532791. The mailing address for George Albert Wood is 580 Lincoln St, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name George Albert Wood
Address 580 Lincoln St, Worcester, Massachusetts
Phone Number 5088532790
Fax Number 5088532791
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1225170665
Provider Enumeration Date 2007-02-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 580 Lincoln St
City Worcester
State Massachusetts (MA)
Post Code 16051916
Phone Number 5088532790
Fax Number 5088532791

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 808
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1603400 MA --
35213 MA HARVARD PILGRIM INS
715391 MA TUFTS INSURANCE
042894453 0003 MA CIGNA INS
Y35555 MA BLUE CROSS BLUE SHIELD MA
42894453 MA COMMONWEALTH OF MA

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FAQs about George Albert Wood

What is the unique identifier code issued to George Albert Wood by the Centers for Medicare & Medicaid Services (CMS)?

The George Albert Wood has been assigned the NPI (National Provider Identifier) 1225170665. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where George Albert Wood is located?

The George Albert Wood is situated at the following address: 580 Lincoln St, Worcester, MA, 16051916.

What is the George Albert Wood's specialty and taxonomy code?

The George Albert Wood's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.

On what date did the George Albert Wood receive the assignment of its 1225170665 from the Centers for Medicare & Medicaid Services?

The George Albert Wood was issued its 1225170665 by the Centers for Medicare & Medicaid Services on 2007-02-13.

As of what date were the details pertaining to George Albert Wood last refreshed?

The information related to the George Albert Wood, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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