Individual
DR. CHARLES GERAKD HEMENWAY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 BEACH RD, 3RD FLOOR, FAIRFIELD, CT 06824-6668
(203) 256-9249
(203) 256-0760
Mailing address
111 BEACH RD, 3RD FLOOR, FAIRFIELD, CT 06824-6668
(203) 256-9249
(203) 256-0760
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
016345
CT
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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