Doctor Name: | DR. RALPH WAYNE DENATALE |
NPI Number: | 1497790026 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 027199 |
Business Practice Address: | 280 State St North Haven, CT - 064732132 |
Business Phone Number: | 2032882886 |
Business Fax Number: | 2032882576 |
Mailing Address: | 280 State St, NORTH HAVEN |
State: | CT |
Postal Code: | 064732132 |
Phone Number: | 2032882886 |
Fax Number: | 2032882576 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 01/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 027199 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |