Individual
BOUSHRA WARD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
124 LIBERTY ST, STE A, PAINESVILLE, OH 44077
(440) 639-9273
(440) 639-0115
Mailing address
124 LIBERTY ST, STE A, PAINESVILLE, OH 44077
(440) 639-9273
(440) 639-0115
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35046039W
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0472868
—
OH
Enumeration date
06/06/2006
Last updated
07/08/2007
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