Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204C00000X | Sports Medicine Doctor | 16587 | CT |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 16587 | CT |
NPI | 1063628295 |
---|---|
Provider Name | Ward J Mcfarland JR. |
First Address | New Haven, CT 06511-6310 |
Second Address | New Haven, CT 06511-6310 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 26/12/2013 |