Provider Demographics
NPI:1982604286
Name:WARD, REBECCA H (MD)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:H
Last Name:WARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:845 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-4878
Mailing Address - Country:US
Mailing Address - Phone:610-692-8100
Mailing Address - Fax:610-436-4011
Practice Address - Street 1:845 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-4878
Practice Address - Country:US
Practice Address - Phone:610-692-8100
Practice Address - Fax:610-436-4011
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010105596207W00000X
PAMD066801L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017361500005Medicaid
PA0017361500009Medicaid
PA0017361500008Medicaid
PA001736150Medicaid
PA021423H6RMedicare PIN