Active NPIIndividual providerSole proprietor

Dr. Stephen C Wardlaw, MD

Specialist, Research Study in Lyme, Connecticut

NPI Number1114150679
Practice location
1 Highrock, Lyme, CT 06371-3450
Fax
—
Last updated
September 1, 2009

Stephen Clark Wardlaw is a Specialist, Research Study based in Lyme, CT. Stephen Clark Wardlaw practices in Lyme, CT and has the professional credentials of MD. The NPI Number for Stephen Clark Wardlaw is 1114150679 and holds a License No. 13973 (CT). The current practice location address for Stephen Clark Wardlaw is 1 Highrock, Lyme, CT 06371-3450 and can be reached out via phone at 860-434-3322.

Provider Profile Details

NPI Number
1114150679
Provider Name
Stephen Clark Wardlaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Highrock, Lyme, CT 06371-3450
Phone Number
860-434-3322
Primary Taxonomy
Specialist, Research Study · 1744R1102X
Sole Proprietor
Yes
Provider Enumeration Date
September 1, 2009
Last Update Date
September 1, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Highrock
Lyme, CT 06371-3450
City
Lyme
Zip
06371-3450
Phone Number
860-434-3322
Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
1 Highrock
Lyme, CT 06371-3450
City
Lyme
State
CT
Zip
06371-3450
Phone Number
860-434-3322

License Information

License Number
13973
License State
CT
Taxonomy
Specialist, Research Study · 1744R1102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Stephen C Wardlaw, MD?

The NPI number of Dr. Stephen C Wardlaw, MD is 1114150679. It was assigned on September 1, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Stephen C Wardlaw, MD?

Dr. Stephen C Wardlaw, MD is registered under the primary taxonomy Specialist, Research Study (code 1744R1102X), licensed in CT under license number 13973.

Where does Dr. Stephen C Wardlaw, MD practice?

The practice location is 1 Highrock, Lyme, CT 06371-3450. The office can be reached at 860-434-3322 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114150679 directly on the NPPES registry website.

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