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CORNELIUS W WICKERSHAM M.D.
NPI 1104893650
Internal Medicine in Waterbury, CT

Active since March 03, 2006
49 LEAVENWORTH ST, SUITE 200, WATERBURY, CT 06702(602) 317-6874(602) 953-7767 Get Directions Write a Review

NPPES record last updated: October 19, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cornelius W Wickersham M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORNELIUS W WICKERSHAM M.D. (NPI 1104893650) is an individual internal medicine provider in Waterbury, Connecticut, licensed in Connecticut (013709) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1104893650
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCORNELIUS W WICKERSHAMCredential: M.D.
Location Address49 LEAVENWORTH ST, SUITE 200Waterbury, CT 06702-2115
Mailing Address11811 N Tatum Blvd, Suite 3031Phoenix, AZ 85028-1614 · (602) 317-6874 · Fax (602) 953-7767
Phone(602) 317-6874
Fax(602) 953-7767
Sole ProprietorNo
Enumeration DateMarch 3, 2006
Last NPPES UpdateOctober 19, 2007
✔ NPI 1104893650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 013709
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
49 LEAVENWORTH ST, Waterbury, CT 06702
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGIONAL PHYSICIAN SERVICES, CT, P.C
Internal Medicine
49 LEAVENWORTH ST, SUITE 200
WATERBURY, CT 06702
Naugatuck Valley Planning Region (866) 662-4560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cornelius Wickersham's NPI number?

The NPI number for Cornelius Wickersham is 1104893650. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Cornelius Wickersham located?

Cornelius Wickersham practices at 49 Leavenworth St Suite 200, Waterbury, CT 06702. The listed phone number is (602) 317-6874.

What is Cornelius Wickersham's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Cornelius Wickersham was last updated on October 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.