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1619909512
IRA J WAGNER
NEW YORK, NY
NPI
1619909512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: NY 131401)
Enumeration Date
2006-07-07
Last Update Date
2008-01-31
Business Address
-- IRA J WAGNER M.D.
ST VINCENTS HOSPITAL 153 WEST 11TH STREET
NEW YORK, NY 10011
Phone number: 212-604-8336
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Mailing Address
-- IRA J WAGNER M.D.
222 W 14TH ST
NEW YORK, NY 10011-7200
Phone number: 212-604-1824
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