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NPI Code Detail

MEDICARE: ANA WARD PA-C

MEDICARE: ANA WARD PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianPA16181TX
2390200000XStudent in an Organized Health Care Education/Training Program
3363AM0700XMedical Physician Assistant031766NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1390200000XOTHERTXSTUDENT, HEALTHCARE

General Provider Information

NPI Number : 1639785603
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA WARD PA-C
Provider Business Mailing Address
First Line : 200 PANTIGO PL STE F
Second Line :
City : EAST HAMPTON
State : NY
Zip : 11937-5922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 PANTIGO PL STE F
Second Line :
City : EAST HAMPTON
State : NY
Zip : 11937-5922
Country : US
Telephone Number : 631-329-9300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2020
Last Update Date : 05/19/2024

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Directions to “ ANA WARD PA-C” Practice Location

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