Individual
MRS. CAROL REBECCA WARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 OCEAN AVE, PORTLAND, ME 04103-4973
(207) 871-0666
(207) 871-9134
Mailing address
185 WOODVILLE RD, FALMOUTH, ME 04105-1121
(207) 871-0666
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
010274
ME
Other
Enumeration date
06/17/2005
Last updated
07/08/2007
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