Individual
DR. MYRA WAYNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3715 MAIN ST, SUITE 200, BRIDGEPORT, CT 06606-3618
(203) 372-4065
(203) 372-1644
Mailing address
3715 MAIN ST, SUITE 200, BRIDGEPORT, CT 06606-3618
(203) 372-4065
(203) 372-1644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
019920
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001199207
—
CT
Enumeration date
03/20/2006
Last updated
05/31/2013
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