Gary R Wanerka
Adolescent Medicine Pediatric Allergist
784 E Main St
Branford
, Connecticut 06405-2918
Gary R Wanerka
Adolescent Medicine Pediatric Allergist
784 E Main St
Branford
, Connecticut 06405-2918
(203) 315-2712
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About
Features
Specialties
- Adolescent Medicine
- Pediatric Allergist
Languages spoken
- English
Location
First Address
- Gary R Wanerka
- 784 E Main St
- Branford, CT
- Zip : 06405-2918
- Fax : (203) 315-2712
- Phone : (203) 481-7008
Second Address
- Gary R Wanerka
- 784 E Main St
- Branford, CT
- Zip : 06405-2918
- Fax : (203) 315-2712
- Phone : (203) 481-7008
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Is Gary R Wanerka a sole practitioner?
Is Gary R Wanerka accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 013185 | CT |
| N | 2080P0201X | Pediatric Allergist | 013185 | CT |
National Provider Identifier
| NPI | 1083655781 |
|---|---|
| Provider Name | Gary R Wanerka |
| First Address | Branford, CT 06405-2918 |
| Second Address | Branford, CT 06405-2918 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/06/2006 |
| Last Update Date | 29/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001131853 | (05) | CT |
| B84582 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.