Individual
MATTHEW G WAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
72 E CONCORD ST, INTERNAL MEDICINE RESIDENCY PROGRAM, EVANS 124, BOSTON, MA 02118-2307
(617) 638-6551
Mailing address
75 BEEKMAN STREET, ANESTHESIA DEPARTMENT, PLATTSBURGH, NY 12901
(518) 561-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
287989-1
NY
Other
Enumeration date
05/13/2013
Last updated
03/01/2018
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