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1053372987
CHRISTIAN T WAGNER
WORCESTER, MA
NPI
1053372987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MA 202641)
Enumeration Date
2006-03-30
Last Update Date
2007-07-08
Business Address
-- CHRISTIAN T WAGNER MD
135 GOLD STAR BLVD
WORCESTER, MA 01606
Phone number: 508-853-2716
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Mailing Address
-- CHRISTIAN T WAGNER MD
630 PLANTATION ST ATTN PHYSICIAN SERVICES WOT 12TH FLOOR
WORCESTER, MA 01605
Phone number: 508-368-5529
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