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Contact Information

PHILIP G WOODHAM
20 PROSPECT AVE
SUITE 715
HACKENSACK, NJ07601-1997
 Phone: 201-881-0721
 Fax: 201-881-0725
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHILIP G WOODHAM · (Male)

NPI Number 1174667836
Status Active
Credentials
Entity Individual
Enumeration date 02/16/2007
Last updated 08/24/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA67550
Hospital affiliation(s)
  • HACKENSACK UNIVERSITY MEDICAL CENTER - (Acute Care)
    30 PROSPECT AVE
    HACKENSACK, NJ 07601
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • PALISADES MEDICAL CTR-NY PRESBYTERIAN HEALTHCARE S - (Acute Care)
    7600 RIVER RD
    NORTH BERGEN, NJ 07047
  • RIVERVIEW MEDICAL CENTER - (Acute Care)
    ONE RIVERVIEW PLAZA
    RED BANK, NJ 07701
  • SOUTHERN OCEAN MEDICAL CENTER - (Acute Care)
    1140 RT 72 W
    MANAHAWKIN, NJ 08050
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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