Individual
DR. STEPHEN CLARK WARDLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 HIGHROCK, LYME, CT 06371-3450
(860) 434-3322
Mailing address
1 HIGHROCK, LYME, CT 06371-3450
(860) 434-3322
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
Primary
13973
CT
Other
Enumeration date
09/01/2009
Last updated
09/01/2009
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