person
John Raymond Wagner, MD
Obstetrics & Gynecology Physician in East Northport, New York
NPI 1538120704

John Raymond Wagner is a Obstetrics & Gynecology Physician based in East Northport, NY. John Raymond Wagner practices in East Northport, NY and has the professional credentials of MD. The NPI Number for John Raymond Wagner is 1538120704 and holds a License No. 181212 (New York).

The current practice location address for John Raymond Wagner is 7 Pulaski Rd, East Northport, NY and can be reached out via phone at 631-261-3322 and via fax at 631-368-5440.

Location: 7 Pulaski Rd, East Northport, NY, 11731-2442
person
Provider Profile Details
NPI Number
1538120704
Provider Name
John Raymond Wagner
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
7 Pulaski Rd, East Northport, NY, 11731-2442
Phone Number
631-261-3322
Fax Number
631-368-5440
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01280253 05 NY
institution
Provider Business Practice Location Address Details
Address
7 Pulaski Rd
City
State
Zip
11731-2442
Phone Number
631-261-3322
Fax Number
631-368-5440
person
Provider Business Mailing Address Details
Address
7 Pulaski Rd
City
State
Zip
11731-2442
Phone Number
631-261-3322
Fax Number
631-368-5440
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
181212 (New York)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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