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Contact Information

BENJAMIN L WAGENMAN, MD
1100 CENTRAL AVE SE
PHS- LAB - S1 LEVEL
ALBUQUERQUE, NM87106-4930
 Phone: 505-841-1330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pathology

207ZC0006X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for BENJAMIN L WAGENMAN · (Male)

NPI Number 1467636951
Status Active
Credentials MD
Entity Individual
Enumeration date 12/20/2007
Last updated 11/26/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NM License # MD2011-0037
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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