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Contact Information

JOSEPH R WAGNER, MD
85 SEYMOUR ST
STE 416
HARTFORD, CT06106-5501
 Phone: 860-947-8500
 Fax: 860-524-8643
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for JOSEPH R WAGNER · (Male)

NPI Number 1578550612
Status Active
Credentials MD
Entity Individual
Enumeration date 10/04/2005
Last updated 02/05/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 041512
  • CT Medicaid 001415125
  • MA Medicaid 2020611
  • CT Other 3231961 AETNA
  • CT Other 010041512CT01 ANTHEM BCBS
  • CT Other 3528766 009 CIGNA
  • CT Other 2V3291 HEALTH NET
  • CT Other 32475 HEALTH NEW ENGLAND
  • CT Other P2913141 OXFORD
  • CT Other 227400 WELLCARE
Hospital affiliation(s)
  • HARTFORD HOSPITAL - (Acute Care)
    80 SEYMOUR STREET
    HARTFORD, CT 06102
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
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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