Most Relevant Information
Provider Data
| NPI Number: | 1003251604 |
| Provider Name: | JENNIFER BUENZLE DWYER M.D., PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2084P0804X |
| Specialty: | Psychiatry & Neurology |
| License Number: | 54329 |
Most Important Dates
| Enumeration Date: | 05/08/2013 |
| Last Updated: | 12/15/2016 |
Provider Practice Location
20 YORK ST # T-209
YALE-NEW HAVEN HOSPITAL
NEW HAVEN
CT
065103220
Practice Location Phone/Fax
| Phone: | 2034332788 |
| Fax: | 2036885599 |
Provider Mailing Location
20 YORK ST # T-209
YALE-NEW HAVEN HOSPITAL
NEW HAVEN
CT
065103220
Provider Mailing Phone/Fax
| Phone: | 2034332788 |
| Fax: | 2036885599 |