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Brent J. Wagner, MD
Specialist in West Reading, Pennsylvania
NPI 1194720748

Brent J. Wagner is a Specialist based in West Reading, PA. Brent J. Wagner practices in West Reading, PA and has the professional credentials of MD. The NPI Number for Brent J. Wagner is 1194720748 and holds a License No. MD-038170-E (Pennsylvania).

The current practice location address for Brent J. Wagner is 301 S 7Th Ave, West Reading, PA and can be reached out via phone at 610-988-8919 and via fax at 610-988-8400.

Location: 301 S 7Th Ave, West Reading, PA, 19611-1442
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194720748
Provider Name
Brent J. Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 S 7Th Ave, West Reading, PA, 19611-1442
Phone Number
610-988-8919
Fax Number
610-988-8400
Provider Enumeration Date
06/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01692458 05 PA
institution
Provider Business Practice Location Address Details
Address
301 S 7Th Ave
City
West Reading
State
Pennsylvania
Zip
19611-1442
Phone Number
610-988-8919
Fax Number
610-988-8400
person
Provider Business Mailing Address Details
Address
301 S 7Th Ave
City
West Reading
State
Pennsylvania
Zip
19611-1442
Phone Number
610-988-8919
Fax Number
610-988-8400
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD-038170-E (Pennsylvania)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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