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1609812007
RANDALL P WAGNER
TAKOMA PARK, MD
NPI
1609812007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: MD 00044957)
Enumeration Date
2006-06-22
Last Update Date
2007-07-08
Business Address
-- RANDALL P WAGNER MD
WASHINGTON ADVENTIST HOSPITAL 7600 CARROLL AVENUE
TAKOMA PARK, MD 20912
Phone number: 301-891-5957
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Mailing Address
-- RANDALL P WAGNER MD
1300 PICCARD DRIVE SUITE 202
ROCKVILLE, MD 20850-4303
Phone number: 301-921-7900
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