Phyllis J Wagner, MD
Pediatrics in Cambridge, Massachusetts
1770609844- Practice location
- 4 Crawford St, Cambridge, MA 02139-1624
- Phone
- 617-492-2855
- Fax
- —
- Last updated
- November 4, 2008
Phyllis J Wagner is a Pediatrics based in Cambridge, MA. Phyllis J Wagner practices in Cambridge, MA and has the professional credentials of MD. The NPI Number for Phyllis J Wagner is 1770609844 and holds a License No. 37927 (MA). The current practice location address for Phyllis J Wagner is 4 Crawford St, Cambridge, MA 02139-1624 and can be reached out via phone at 617-492-2855.
Provider Profile Details
- NPI Number
- 1770609844
- Provider Name
- Phyllis J Wagner
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4 Crawford St, Cambridge, MA 02139-1624
- Phone Number
- 617-492-2855
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 21, 2007
- Last Update Date
- November 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4 Crawford St
Cambridge, MA 02139-1624 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02139-1624
- Phone Number
- 617-492-2855
Provider Business Mailing Address Details
- Address
- Po Box 380042
Cambridge, MA 02238-0042 - City
- Cambridge
- State
- MA
- Zip
- 02238-0042
License Information
- License Number
- 37927
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Cambridge, MA
View all Pediatrics providers in Cambridge →- Amita R Chopra, MDPediatrics · NPI 1659357671
- Ashley Farrington, MDPediatrics · NPI 1336587021
- Brian C King, MD FAAPPediatrics · NPI 1225370364
- Brian L Hamilton, MDPediatrics · NPI 1083743967
- Cambridge Health Alliance Physicians OrganizationPediatrics · NPI 1417161712
- Charles J Homer, MDPediatrics · NPI 1336260587
Frequently Asked Questions
What is the NPI number of Phyllis J Wagner, MD?
The NPI number of Phyllis J Wagner, MD is 1770609844. It was assigned on March 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Phyllis J Wagner, MD?
Phyllis J Wagner, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 37927.
Where does Phyllis J Wagner, MD practice?
The practice location is 4 Crawford St, Cambridge, MA 02139-1624. The office can be reached at 617-492-2855 (phone).
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 1770609844 directly on the NPPES registry website.