Individual
DAVID WILSON WORMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057-9249
(315) 234-7860
(315) 634-5170
Mailing address
5008 BRITTONFIELD PKWY STE 700, EAST SYRACUSE, NY 13057-9249
(315) 234-7860
(315) 634-5170
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
218591
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02091129
—
NY
01
—
P00446825
RAILROAD MEDICARE
NY
Enumeration date
03/23/2006
Last updated
09/21/2020
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