Individual
DR. ANDREW STEWART WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
64 ROBBINS STREET, WATERBURY, CT 06708
(203) 573-7257
(203) 573-6073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
71784
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/24/2018
Last updated
05/09/2023
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