MEDICARE: DR. DAVID RYAN PEAPER MD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0006X	Clinical Pathology Physician	049563	CT
2	207ZM0300X	Medical Microbiology Physician	049563	CT
3	207ZP0105X	Clinical Pathology/Laboratory Medicine Physician	049563	CT

General Provider Information

NPI Number	:	1932369295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID RYAN PEAPER MD PHD

Provider Business Mailing Address
First Line	:	20 YORK STREET T209
Second Line	:	YALE NEW HAVEN HOSPITAL
City	:	NEW HAVEN
State	:	CT
Zip	:	06510-3220
Country	:	US
Telephone Number	:	203-688-2259
Fax Number	:	203-688-5599

Provider Business Practice Location Address
First Line	:	20 YORK STREET T209
Second Line	:	YALE NEW HAVEN HOSPITAL
City	:	NEW HAVEN
State	:	CT
Zip	:	06510-3220
Country	:	US
Telephone Number	:	203-688-2259
Fax Number	:	203-688-5599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	04/09/2026

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