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Contact Information

GARY R WANERKA, MD
784 E MAIN ST
BRANFORD, CT06405-2918
 Phone: 203-481-7008
 Fax: 203-315-2712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Pediatric Allergy/Immunology

2080P0201X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GARY R WANERKA · (Male)

NPI Number 1083655781
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 09/29/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 013185
  • CT Medicaid 001131853
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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