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Individual

JERALD WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2694
(603) 448-3121
(603) 448-7462

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12683
NH
208M00000X
Hospitalist Physician
Primary
12683
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00000834
NH
01
0101506YOVT02
ANTHEM
NH
01
020473740
TRICARE
NH
01
1367002
CIGNA
NH
01
3968512
AETNA
NH
01
D03208
HARVARD PILGRIM
NH
Enumeration date
04/18/2006
Last updated
04/08/2013
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