Provider Demographics
NPI:1063628295
Name:MCFARLAND, WARD J JR (MD)
Entity Type:Individual
Prefix:
First Name:WARD
Middle Name:J
Last Name:MCFARLAND
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 TRUMBULL ST
Mailing Address - Street 2:C/O R FABBRI, M.D.
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-6310
Mailing Address - Country:US
Mailing Address - Phone:203-671-2691
Mailing Address - Fax:
Practice Address - Street 1:32 TRUMBULL ST
Practice Address - Street 2:C/O R FABBRI, M.D.
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-6310
Practice Address - Country:US
Practice Address - Phone:203-671-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT165872084P0015X, 204D00000X, 204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM