person
Christian T Wagner, MD
Diagnostic Radiology Physician in Worcester, Massachusetts
NPI 1053372987

Christian T Wagner is a Diagnostic Radiology Physician based in Worcester, MA and is specialized in Diagnostic Radiology. Christian T Wagner practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Christian T Wagner is 1053372987 and holds a License No. 202641 (Massachusetts).

The current practice location address for Christian T Wagner is 135 Gold Star Blvd, Worcester, MA and can be reached out via phone at 508-853-2716 and via fax at 508-856-9025.

Location: 135 Gold Star Blvd, Worcester, MA, 01605
person
Provider Profile Details
NPI Number
1053372987
Provider Name
Christian T Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
135 Gold Star Blvd, Worcester, MA, 01605
Phone Number
508-853-2716
Fax Number
508-856-9025
Provider Enumeration Date
03/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3204235 01 MEDICAID WELFARE
44949 01 FALLON COMMUNITY HEALTH P
784219 01 MVP HEALTH CARE
A30514 01 MEDICARE B
7370306 01 AETNA US HEALTHCARE
3204235 01 HEALTHY START
3204235 05 MA
7200046 01 CIGNA HEALTH PLAN
AA5533 01 HARVARD PILGRIM HEALTHCAR
J21993 01 BLUE SHIELD INDEMNITY
1818742 01 FIRST HEALTH
J21993 01 BLUE CARE ELECT
J21993 01 BLUE SHIELD HMO BLUE
institution
Provider Business Practice Location Address Details
Address
135 Gold Star Blvd
City
State
Zip
01606
Phone Number
508-853-2716
Fax Number
508-856-9025
person
Provider Business Mailing Address Details
Address
135 Gold Star Blvd
City
State
Zip
01606
Phone Number
508-853-2716
Fax Number
508-856-9025
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
202641 (Massachusetts)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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