Individual provider · Type 1 NPI
Stephen Clark Wardlaw, MD
Research Study Specialist · Lyme, CT
NPI number
1114150679
Active
Practice location
1 Highrock
Lyme, CT 06371-3450
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Research Study Specialist Primary | 1744R1102X | 13973 (CT) |
Research Study Specialist: Definition to come...
About NPI 1114150679
Stephen Clark Wardlaw, MD's National Provider Identifier is 1114150679, issued on Sep 1, 2009. The primary taxonomy on file is Research Study Specialist (1744R1102X), and the practice location is in Lyme, CT. The record was last updated on Sep 1, 2009.