Individual
CHARLES RYAN WIRA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 YORK ST, YNHH SOUTH PAVILION, ROOM 218, NEW HAVEN, CT 06510-3220
(203) 688-2222
(203) 785-4580
Mailing address
20 YORK ST, YNHH SOUTH PAVILION, ROOM 218, NEW HAVEN, CT 06510-3220
(203) 688-2222
(203) 785-4580
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
043339
CT
Other
Enumeration date
11/09/2005
Last updated
04/07/2011
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