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1124308580
WOLF KARL VON WAAGNER
STATEN ISLAND, NY
NPI
1124308580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-08-17
Last Update Date
2011-08-17
Business Address
-- WOLF KARL VON WAAGNER MD
475 SEAVIEW AVE
STATEN ISLAND, NY 10305-3436
Phone number: 718-226-9000
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Mailing Address
-- WOLF KARL VON WAAGNER MD
423 RARITAN AVE
STATEN ISLAND, NY 10305-2345
Phone number: 718-755-8882
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