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Cornelius Wickersham, M.D
NPI 1104893650 · on the registry since 2006
Practice
- Address
- 49 Leavenworth St
Suite 200
Waterbury, CT 06702 - Phone
- (602) 317-6874
- Fax
- (602) 953-7767
- Organisation at this address
- Regional Physician Services, Ct, P.C
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut