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1104893650
CORNELIUS W WICKERSHAM
WATERBURY, CT
NPI
1104893650
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CT 013709)
Enumeration Date
2006-03-03
Last Update Date
2007-10-19
Business Address
-- CORNELIUS W WICKERSHAM M.D.
49 LEAVENWORTH ST SUITE 200
WATERBURY, CT 06702-2115
Phone number: 602-317-6874
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Mailing Address
-- CORNELIUS W WICKERSHAM M.D.
11811 N TATUM BLVD SUITE 3031
PHOENIX, AZ 85028-1614
Phone number: 602-317-6874
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