Denatale, Ralph Wayne

Denatale, Ralph Wayne is an individual health care provider with primary practice located at 280 State St , North Haven CT 06473-2132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Denatale, Ralph Wayne can be contacted via phone (203) 288-2886.

Contact Information

Primary practice address
280 State St North Haven CT 06473-2132
Fax: (203) 288-2576
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 027199 Connecticut
Allopathic & Osteopathic Physicians / General Practice 208D00000X 027199 Connecticut

Profile Details

NPI number 1497790026
LBN Legal business name Denatale, Ralph Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Jan 23rd, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497790026 NPPES
Connecticut MEDICAID 001271998

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