Active NPIIndividual providerSole proprietor

Dr. Rudolph S Wagner, MD

Ophthalmology in Millburn, New Jersey

NPI Number1366484222
Practice location
288 Millburn Ave, Millburn, NJ 07041-1622
Fax
973-912-0800
Last updated
April 21, 2022

Rudolph Steven Wagner is an Ophthalmology based in Millburn, NJ. Rudolph Steven Wagner practices in Millburn, NJ and has the professional credentials of MD. The NPI Number for Rudolph Steven Wagner is 1366484222 and holds a License No. 25MA03649700 (NJ). The current practice location address for Rudolph Steven Wagner is 288 Millburn Ave, Millburn, NJ 07041-1622 and can be reached out via phone at 973-912-9199 and via fax at 973-912-0800.

Provider Profile Details

NPI Number
1366484222
Provider Name
Rudolph Steven Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
288 Millburn Ave, Millburn, NJ 07041-1622
Phone Number
973-912-9199
Fax Number
973-912-0800
Primary Taxonomy
Ophthalmology · 207W00000X
Sole Proprietor
Yes
Provider Enumeration Date
June 12, 2006
Last Update Date
April 21, 2022
Certification Date
April 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
288 Millburn Ave
Millburn, NJ 07041-1622
Zip
07041-1622
Phone Number
973-912-9199
Fax Number
973-912-0800
Millburn, NJ 07041Get directions →

Provider Business Mailing Address Details

Address
288 Millburn Ave
Millburn, NJ 07041-1622
City
Millburn
State
NJ
Zip
07041-1622
Phone Number
973-912-9199
Fax Number
973-912-0800

License Information

License Number
25MA03649700
License State
NJ
Taxonomy
Ophthalmology · 207W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Rudolph S Wagner, MD?

The NPI number of Dr. Rudolph S Wagner, MD is 1366484222. It was assigned on June 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Rudolph S Wagner, MD?

Dr. Rudolph S Wagner, MD is registered under the primary taxonomy Ophthalmology (code 207W00000X), licensed in NJ under license number 25MA03649700.

Where does Dr. Rudolph S Wagner, MD practice?

The practice location is 288 Millburn Ave, Millburn, NJ 07041-1622. The office can be reached at 973-912-9199 (phone) or 973-912-0800 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366484222 directly on the NPPES registry website.

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