Individual
CAROLYN WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
879 NEWPORT CENTER DR, NEWPORT BEACH, CA 92660-6943
(833) 334-6393
Mailing address
879 NEWPORT CENTER DR, NEWPORT BEACH, CA 92660-6943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA10548900
NJ
207R00000X
Internal Medicine Physician
Primary
A168609
CA
Other
Enumeration date
04/04/2017
Last updated
09/21/2020
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