Provider Demographics
NPI:1174530786
Name:WOODWARD & ASSOCIATES, P.C.
Entity type:Organization
Organization Name:WOODWARD & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:MANTIONE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:717-482-8115
Mailing Address - Street 1:8105 ADAMS DR STE B
Mailing Address - Street 2:
Mailing Address - City:HUMMELSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17036-8625
Mailing Address - Country:US
Mailing Address - Phone:717-482-8115
Mailing Address - Fax:717-482-8364
Practice Address - Street 1:8105 ADAMS DR STE B
Practice Address - Street 2:
Practice Address - City:HUMMELSTOWN
Practice Address - State:PA
Practice Address - Zip Code:17036-8625
Practice Address - Country:US
Practice Address - Phone:717-482-8115
Practice Address - Fax:717-482-8364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty