Individual
DR. CORLISS ADAM VARNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
33 E SCHUYLER ST, OSWEGO, NY 13126-1161
(315) 343-6974
(315) 342-3625
Mailing address
33 E SCHUYLER ST, OSWEGO, NY 13126-1161
(315) 343-6974
(315) 342-3625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
165522
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00964989
—
NY
Enumeration date
10/26/2005
Last updated
04/17/2015
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