Charles Ryan Wira Iii, MD | |
20 York St, Ynhh South Pavilion, Room 218, New Haven, CT 06510-3220 | |
(203) 688-2222 | |
(203) 785-4580 |
Full Name | Charles Ryan Wira Iii |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 20 York St, New Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043291610 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 043339 (Connecticut) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Mailing Address | Practice Location Address |
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Charles Ryan Wira Iii, MD 20 York St, Ynhh South Pavilion, Room 218, New Haven, CT 06510-3220 Ph: (203) 688-2222 | Charles Ryan Wira Iii, MD 20 York St, Ynhh South Pavilion, Room 218, New Haven, CT 06510-3220 Ph: (203) 688-2222 |
Sandra Seelig, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Lisa Tian-tian Zhang, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242 | |
Mary S Bogucki, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519 Phone: 203-785-2140 Fax: 203-785-6414 | |
Dr. Daniel Seth Greenstein, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 464 Congress Ave, New Haven, CT 06519 Phone: 203-688-4242 | |
Mr. Jonathan Meldrum, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 464 Congress Ave, Suite #260, New Haven, CT 06519 Phone: 203-737-2644 | |
John Richard Deguardi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 518-698-7975 |