person
Mr. Jeffrey Douglas Wagner, PA
Medical Physician Assistant in Sayville, New York
NPI 1891744967

Jeffrey Douglas Wagner is a Medical Physician Assistant based in Sayville, NY and is specialized in Medical. Jeffrey Douglas Wagner practices in Sayville, NY and has the professional credentials of PA. The NPI Number for Jeffrey Douglas Wagner is 1891744967 and holds a License No. (New York).

The current practice location address for Jeffrey Douglas Wagner is 18 Ronald Ln, Sayville, NY and can be reached out via phone at 631-750-3924.

Location: 18 Ronald Ln, Sayville, NY, 11782-1622
person
Provider Profile Details
NPI Number
1891744967
Provider Name
Jeffrey Douglas Wagner
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
18 Ronald Ln, Sayville, NY, 11782-1622
Phone Number
631-750-3924
Fax Number
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
18 Ronald Ln
City
State
Zip
11782-1622
Phone Number
631-750-3924
Fax Number
person
Provider Business Mailing Address Details
Address
18 Ronald Ln
City
State
Zip
11782-1622
Phone Number
631-750-3924
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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