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NPI Profile for JOHN R WAGNER in EAST NORTHPORT, NY.
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Obstetrics & Gynecology |
207V00000X | 16 | Physician/Obstetrics & Gynecology |
| NPI # | 1538120704 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 03/29/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JOHN R WAGNER
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JOHN R WAGNER, MD