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Gregory Van Wagner
Emergency Medicine Physician in Philadelphia, Pennsylvania
NPI 1255838959

Gregory Van Wagner is a Emergency Medicine Physician based in Philadelphia, PA. Gregory Van Wagner practices in Philadelphia, PA. The NPI Number for Gregory Van Wagner is 1255838959 and holds a License No. (Pennsylvania).

The current practice location address for Gregory Van Wagner is 1020 Sansom St Ste 1651B, Philadelphia, PA and can be reached out via phone at 215-955-9837.

Location: 1020 Sansom St Ste 1651B, Philadelphia, PA, 19107-5002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255838959
Provider Name
Gregory Van Wagner
Credential
Provider Entity Type
Individual
Gender
Male
Address
1020 Sansom St Ste 1651B, Philadelphia, PA, 19107-5002
Phone Number
215-955-9837
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1020 Sansom St Ste 1651B
City
Philadelphia
State
Pennsylvania
Zip
19107-5002
Phone Number
215-955-9837
Fax Number
person
Provider Business Mailing Address Details
Address
1020 Sansom St Ste 1651B
City
Philadelphia
State
Pennsylvania
Zip
19107-5002
Phone Number
215-955-9837
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MD.4237 (Alabama)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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