JACK WAGNER

NEW ROCHELLE, NY
NPI1578775326
Professional NameJACK WAGNER
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: NY  90773)
Enumeration Date2007-05-04
Last Update Date2007-07-08
Business Address
Dr. JACK WAGNER M.D.
37 WILPUTTE PL
NEW ROCHELLE, NY 10804-1426
Phone number: 914-636-5678
Mailing Address
Dr. JACK WAGNER M.D.
37 WILPUTTE PL
NEW ROCHELLE, NY 10804-1426
Phone number: 914-636-5678
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