Provider Demographics
NPI:1275557274
Name:WARD, CARLA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARLA
Other - Middle Name:MARIE
Other - Last Name:MOSBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11002 VEID MILL ROAD
Mailing Address - Street 2:SUITE 414
Mailing Address - City:WHEATON
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2538
Mailing Address - Country:US
Mailing Address - Phone:302-962-5800
Mailing Address - Fax:301-962-9585
Practice Address - Street 1:2 WISCONSIN CIRCLE #250
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815
Practice Address - Country:US
Practice Address - Phone:301-986-9262
Practice Address - Fax:301-907-7910
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME95677207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology