Basic Information
| Provider Information | |||||||||
| NPI: | 1891863213 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WARD | ||||||||
| FirstName: | EDWARD | ||||||||
| MiddleName: | DUFFY | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 820 FOLLIN LN SE | ||||||||
| Address2: | NAVY FEDERAL WELLNESS CENTER | ||||||||
| City: | VIENNA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221804907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8772228808 | ||||||||
| FaxNumber: | 7032061371 | ||||||||
| Practice Location | |||||||||
| Address1: | 820 FOLLIN LN SE | ||||||||
| Address2: | NAVY FEDERAL WELLNESS CENTER | ||||||||
| City: | VIENNA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 221804907 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8772228808 | ||||||||
| FaxNumber: | 7032061371 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2006 | ||||||||
| LastUpdateDate: | 05/12/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 0101035403 | VA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.