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Individual

CHRISTOPHER WAKEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
44 BREWSTER ROAD, HEM/ONCOLOGY DEPT., LEVEL A, BRISTOL, CT 06010-5161
(860) 585-3000
(860) 585-3907
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 858-3906
(860) 585-3907

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
017355
CT
207RX0202X
Medical Oncology Physician
Primary
017355
CT

Other

Enumeration date
05/27/2005
Last updated
11/02/2007
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