Healthcare Provider Details

I. General information

NPI: 1134413412
Provider Name (Legal Business Name): MEGHAN A WARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2011
Last Update Date: 07/26/2024
Certification Date: 06/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TOWNE PARK PLZ
NORWICH CT
06360-2247
US

IV. Provider business mailing address

1 TOWNE PARK PLZ
NORWICH CT
06360-2247
US

V. Phone/Fax

Practice location:
  • Phone: 860-886-1433
  • Fax:
Mailing address:
  • Phone: 860-886-1433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084E0001X
TaxonomyEpilepsy Physician
License Number068625
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number068625
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: