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1376518100
DOUGLAS WARD
BRIDGEPORT, CT
NPI
1376518100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: CT 001476)
Enumeration Date
2006-02-23
Last Update Date
2021-03-26
Business Address
DOUGLAS WARD PA
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
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Mailing Address
DOUGLAS WARD PA
267 GRANT ST DEPT OF
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3000
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