ANDREA JOAN WAGNER

SOMERVILLE, MA
NPI1326102617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MA  54447)
Enumeration Date2006-12-20
Last Update Date2007-07-08
Business Address
-- ANDREA JOAN WAGNER M.D.
236 HIGHLAND AVE
SOMERVILLE, MA 02143-1495
Phone number: 617-591-4263
Mailing Address
-- ANDREA JOAN WAGNER M.D.
230 HIGHLAND AVE
SOMERVILLE, MA 02143-1408
Phone number: 617-591-4263