Audrey S Wagner, MD
Internal Medicine in Watertown, Massachusetts
1639127152- Practice location
- 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091
- Phone
- 617-972-5200
- Fax
- 617-972-5512
- Last updated
- June 27, 2011
Audrey Susan Wagner is an Internal Medicine based in Watertown, MA. Audrey Susan Wagner practices in Watertown, MA and has the professional credentials of MD. The NPI Number for Audrey Susan Wagner is 1639127152 and holds a License No. 76506 (MA). The current practice location address for Audrey Susan Wagner is 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091 and can be reached out via phone at 617-972-5200 and via fax at 617-972-5512.
Provider Profile Details
- NPI Number
- 1639127152
- Provider Name
- Audrey Susan Wagner
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091
- Phone Number
- 617-972-5200
- Fax Number
- 617-972-5512
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 5, 2006
- Last Update Date
- June 27, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 485 Arsenal St
Internal Medicine
Watertown, MA 02472-5091 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-5091
- Phone Number
- 617-972-5200
- Fax Number
- 617-972-5512
Provider Business Mailing Address Details
- Address
- 147 Milk St
Provider Enrollment - 9TH Floor
Boston, MA 02109-4806 - City
- Boston
- State
- MA
- Zip
- 02109-4806
- Phone Number
- 617-559-8374
License Information
- License Number
- 76506
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Audrey S Wagner, MD?
The NPI number of Audrey S Wagner, MD is 1639127152. It was assigned on May 5, 2006 and is currently active in the NPPES registry.
What is the specialty of Audrey S Wagner, MD?
Audrey S Wagner, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 76506.
Where does Audrey S Wagner, MD practice?
The practice location is 485 Arsenal St, Internal Medicine, Watertown, MA 02472-5091. The office can be reached at 617-972-5200 (phone) or 617-972-5512 (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 1639127152 directly on the NPPES registry website.