JOHN RAYMOND WAGNER

EAST NORTHPORT, NY
NPI1538120704
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: NY  181212)
Enumeration Date2006-03-29
Last Update Date2007-07-08
Business Address
-- JOHN RAYMOND WAGNER M.D.
7 PULASKI RD
EAST NORTHPORT, NY 11731-2442
Phone number: 631-261-3322
Mailing Address
-- JOHN RAYMOND WAGNER M.D.
7 PULASKI RD
EAST NORTHPORT, NY 11731-2442
Phone number: 631-261-3322
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