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1649215740
ANDREW WACKETT
STONY BROOK, NY
NPI
1649215740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NY 213860)
Enumeration Date
2006-06-20
Last Update Date
2007-07-08
Business Address
Dr. ANDREW WACKETT M.D.
UNIVERSITY HOSPITAL, L4
STONY BROOK, NY 11794-0001
Phone number: 631-444-2499
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Mailing Address
Dr. ANDREW WACKETT M.D.
PO BOX 1559
STONY BROOK, NY 11790-0989
Phone number: 631-444-2499
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