Active NPIIndividual provider

Gary R Wanerka, MD

Pediatrics, Adolescent Medicine in Branford, Connecticut

NPI Number1083655781
Practice location
784 E Main St, Branford, CT 06405-2918
Fax
203-315-2712
Last updated
September 29, 2011

Gary R Wanerka is a Pediatrics, Adolescent Medicine based in Branford, CT. Gary R Wanerka practices in Branford, CT and has the professional credentials of MD. The NPI Number for Gary R Wanerka is 1083655781 and holds a License No. 013185 (CT). The current practice location address for Gary R Wanerka is 784 E Main St, Branford, CT 06405-2918 and can be reached out via phone at 203-481-7008 and via fax at 203-315-2712.

Provider Profile Details

NPI Number
1083655781
Provider Name
Gary R Wanerka
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
784 E Main St, Branford, CT 06405-2918
Phone Number
203-481-7008
Fax Number
203-315-2712
Primary Taxonomy
Pediatrics, Adolescent Medicine · 2080A0000X
Sole Proprietor
No
Provider Enumeration Date
June 10, 2006
Last Update Date
September 29, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
784 E Main St
Branford, CT 06405-2918
Zip
06405-2918
Phone Number
203-481-7008
Fax Number
203-315-2712
Branford, CT 06405Get directions →

Provider Business Mailing Address Details

Address
784 E Main St
Branford, CT 06405-2918
City
Branford
State
CT
Zip
06405-2918
Phone Number
203-481-7008
Fax Number
203-315-2712

License Information

License Number (1)
013185
License State (1)
CT
Taxonomy (1)
Pediatrics, Adolescent Medicine · 2080A0000X · Primary
License Number (2)
013185
License State (2)
CT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Gary R Wanerka, MD?

The NPI number of Gary R Wanerka, MD is 1083655781. It was assigned on June 10, 2006 and is currently active in the NPPES registry.

What is the specialty of Gary R Wanerka, MD?

Gary R Wanerka, MD is registered under the primary taxonomy Pediatrics, Adolescent Medicine (code 2080A0000X), licensed in CT under license number 013185.

Where does Gary R Wanerka, MD practice?

The practice location is 784 E Main St, Branford, CT 06405-2918. The office can be reached at 203-481-7008 (phone) or 203-315-2712 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083655781 directly on the NPPES registry website.

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