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CHRISTOPHER WAKEM MD

Physicians Internal Medicine Hematology

Provider NPI: 1104829753

Provider Information:
 CHRISTOPHER  WAKEM MD
Gender: M
Not Sole Proprietor

Practice Location:
44 BREWSTER ROAD HEM/ONCOLOGY DEPT., LEVEL A BRISTOL, CT 06010-5161 US
Tel: 860-585-3000  Fax: 860-585-3907

Business Mailing Address:
PO BOX 2828  BRISTOL, CT 06011-2828 US
Tel: 860-858-3906  Fax: 860-585-3907

NPI Information:
NPI: 1104829753
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RH0000XPhysicians
Internal Medicine
Hematology
CT017355
Y207RX0202XPhysicians
Internal Medicine
CT017355

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 207RX0202X

Type:

Classification:



Definition:



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