Jesse Willard Woods Iii

NPI 1033772405 · on the registry since 2019 · sole proprietor

Practice

Address: 1410 N 31st St
Philadelphia, PA 19121
Phone: (215) 258-3481
Organisation at this address: Jesse Willard Woods Iii
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 347C00000X
347C00000X
Also registered as: 101YS0200X
171M00000X
172V00000X
172V00000X
174200000X
344600000X
347E00000X
372600000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania