Provider Demographics
NPI:1861585101
Name:WOOD, PAUL ANDREW (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:ANDREW
Last Name:WOOD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:55 YORKSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02030-2371
Mailing Address - Country:US
Mailing Address - Phone:617-876-1530
Mailing Address - Fax:206-984-4535
Practice Address - Street 1:ONE HOLLIS STREET
Practice Address - Street 2:SUITE 235
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7900
Practice Address - Country:US
Practice Address - Phone:617-876-1530
Practice Address - Fax:206-984-4535
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-30
Last Update Date:2024-10-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA720292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ12156Medicare ID - Type UnspecifiedBC/BS AND MEDICARE NUMBER