Stephen Clark Wardlaw M.D.

NPI 1114150679 - Specialist - 1744R1102X

NPI Details
NPI 1114150679
Gender Male
Enumeration Date 09/01/2009
Last Updated 09/01/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1 HIGHROCK
LYME CT, 06371-3450, US
Phone (860) 434-3322
Fax
Business Location
1 HIGHROCK
LYME CT, 06371-3450, US
Phone (860) 434-3322
Fax
Toxanomy
Taxonomy Code 1744R1102X
License State Connecticut
License Number 13973
Remove 1114150679 NPI Number
 

According to our database, Dr. Stephen Clark Wardlaw M.D. NPI is 1114150679, taxonomy code is 1744R1102X and license number is 13973, license state is located at Connecticut. Stephen Clark Wardlaw M.D. physically located at 1 Highrock, Lyme CT, 06371-3450. NPI Number Stephen Clark Wardlaw M.D. has the Individual type.

Sponsored links

1114150679 NPI number is provided on an as is basis without warranty of any kind. 1114150679 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Clark Wardlaw M.D. are for informational purposes only.