Individual
PAMELA J WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2064 WOODBURY AVENUE, SUITE 103, NEWINGTON, NH 03805
(603) 431-6691
(603) 431-6794
Mailing address
2064 WOODBURY AVENUE, SUITE 103, NEWINGTON, NH 03805
(603) 431-6691
(603) 431-6794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0542P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30333512
—
NH
05
—
431769299
—
ME
Enumeration date
12/02/2005
Last updated
01/26/2016
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