| Doctor Name: | GARY R WANERKA |
| NPI Number: | 1083655781 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 013185 |
| Business Practice Address: | 784 E Main St Branford, CT - 064052918 |
| Business Phone Number: | 2034817008 |
| Business Fax Number: | 2033152712 |
| Mailing Address: | 784 E Main St, BRANFORD |
| State: | CT |
| Postal Code: | 064052918 |
| Phone Number: | 2034817008 |
| Fax Number: | 2033152712 |
| NPI Enumeration Date: | 06/10/2006 |
| NPI Last Update Date: | 09/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2080P0201X |
| License Number: | 013185 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Pediatrics |
| Taxonomy Specialization: | Pediatric Allergy/Immunology |
| Taxonomy Definition: | A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |