Individual
DR. WAYNE S WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1308 CHAPEL ST, NEW HAVEN, CT 06511-4515
(203) 865-5111
(203) 562-2368
Mailing address
53 PUTTING GREEN LN, ORANGE, CT 06477-3158
(203) 865-5111
(203) 562-2368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029184
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029184
STATE LICENSE
CT
Enumeration date
01/24/2006
Last updated
07/23/2012
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