Christopher Wakem
Hematologist Medical Oncology
44 Brewster Road Hem/oncology Dept., Level A
Bristol
, Connecticut 06010-5161
Christopher Wakem
Hematologist Medical Oncology
44 Brewster Road Hem/oncology Dept., Level A
Bristol
, Connecticut 06010-5161
(860) 585-3907
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About
Features
Specialties
- Hematologist
- Medical Oncology
Languages spoken
- English
Location
First Address
- Christopher Wakem
- Po Box 2828
- Bristol, CT
- Zip : 06011-2828
- Fax : (860) 585-3907
- Phone : (860) 858-3906
Second Address
- Christopher Wakem
- 44 Brewster Road Hem/oncology Dept., Level A
- Bristol, CT
- Zip : 06010-5161
- Fax : (860) 585-3907
- Phone : (860) 585-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0000X | Hematologist | 017355 | CT |
| Y | 207RX0202X | Medical Oncology | 017355 | CT |
National Provider Identifier
| NPI | 1104829753 |
|---|---|
| Provider Name | Christopher Wakem |
| First Address | Bristol, CT 06011-2828 |
| Second Address | Bristol, CT 06010-5161 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/05/2005 |
| Last Update Date | 02/11/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D48343 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.