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Individual

MRS. GANNON J. WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1039 EAST MAIN STREET, STAMFORD, CT 06902-4108
(203) 327-2722
(203) 975-4539
Mailing address
345 WHITNEY AVENUE, NEW HAVEN, CT 06511-2348
(203) 752-2856
(203) 752-8785

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
00350
CT
367A00000X
Advanced Practice Midwife
193956
NC
367A00000X
Advanced Practice Midwife
350
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7002120
NC
05
MW0171
SC
Enumeration date
07/24/2007
Last updated
04/06/2012
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