Healthcare Provider Details

I. General information

NPI: 1063628295
Provider Name (Legal Business Name): WARD J MCFARLAND JR. M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 12/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32 TRUMBULL ST C/O R FABBRI, M.D.
NEW HAVEN CT
06511-6310
US

IV. Provider business mailing address

32 TRUMBULL ST C/O R FABBRI, M.D.
NEW HAVEN CT
06511-6310
US

V. Phone/Fax

Practice location:
  • Phone: 203-671-2691
  • Fax:
Mailing address:
  • Phone: 203-671-2691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number16587
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number16587
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code204C00000X
TaxonomySports Medicine (Neuromusculoskeletal Medicine) Physician
License Number16587
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: