Individual
DR. WAYNE IAN LARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
46 PRINCE ST, SUITE 402A, NEW HAVEN, CT 06519-1600
(203) 787-6161
(203) 776-0300
Mailing address
46 PRINCE ST STE 203, NEW HAVEN, CT 06519-1600
(203) 787-6161
(203) 776-0300
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
030754
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001307546
—
CT
Enumeration date
09/26/2005
Last updated
09/26/2023
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