Wainer, Bruce P

Wainer, Bruce P is an individual health care provider with primary practice located at 1825 Barnum Ave Suite 203, Stratford CT 06614-5333. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Wainer, Bruce P can be contacted via phone (203) 377-5493.

Contact Information

Primary practice address
1825 Barnum Ave Suite 203 Stratford CT 06614-5333
Phone: (203) 377-5493
Fax: (203) 380-0874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 025902 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 025902 Connecticut

Profile Details

NPI number 1962506204
LBN Legal business name Wainer, Bruce P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Oct 24th, 2008 - about 16 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 1962506204 NPPES
Connecticut MEDICAID 1259027

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