Gary R Wanerka
M.D. | Pediatric Adolescent Medicine | Male
Gary R Wanerka, M.D. is a Branford, Connecticut based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Gary R Wanerka is
784 E Main St, Branford, Connecticut - 06405-2918. He can be contacted on phone at
203-481-7008 and fax number 203-315-2712.
Gary R Wanerka is a sole proprietor of his business.
NPI number (Unique professional ID) for Gary R Wanerka is
1083655781 which was assigned by NPPES on 10 Jun, 2006 and it was last updated on 29 Sep, 2011.
Gary R Wanerka license number is
013185 for Pediatrics Adolescent Medicine (2080A0000X) in Connecticut.
Gary R Wanerka specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Gary R Wanerka basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Gary R Wanerka |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Gary R Wanerka address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 784 E Main St
Branford, CT, 06405-2918
United States |
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| Phone Number : | 203-481-7008 |
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| Fax Number : | 203-315-2712 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
| NPI Number : | 1083655781 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jun, 2006 |
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| Last Updated On : | 29 Sep, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gary R Wanerka are as mentioned. Primary taxonomy code for Gary R Wanerka, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0201X | Pediatrics Pediatric Allergy/Immunology | No | 013185 | CT |
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 013185 | CT |
Legacy Identifiers:
Other legacy medical identifiers of Gary R Wanerka such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 001131853 | MEDICAID | CT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 784 E Main St
Branford, CT, 06405-2918
United States |
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| Phone Number : | 203-481-7008 |
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| Fax Number : | 203-315-2712 |
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Business Location:
Patients can refer following map for directions to
Gary R Wanerka practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.