Provider Demographics
NPI:1326088253
Name:WARD, WENDY ALLISON (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ALLISON
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:WENDY
Other - Middle Name:ALLISON
Other - Last Name:WARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:140 SYLVAN AVE
Mailing Address - Street 2:SUITE 101A
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2514
Mailing Address - Country:US
Mailing Address - Phone:201-945-6564
Mailing Address - Fax:201-461-9038
Practice Address - Street 1:140 SYLVAN AVE
Practice Address - Street 2:SUITE 101B
Practice Address - City:ENGLEWOOD CLIFFS
Practice Address - State:NJ
Practice Address - Zip Code:07632-2514
Practice Address - Country:US
Practice Address - Phone:201-945-6564
Practice Address - Fax:201-461-9038
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06539600207L00000X
NYA182830-1207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNS3070OtherOXFORD
NJCE8412OtherRAILROAD MEDICARE
NJF65130Medicare UPIN
NJ000765Medicare ID - Type Unspecified