AUDREY SUSAN WAGNER

WATERTOWN, MA
NPI1639127152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MA  76506)
Enumeration Date2006-05-05
Last Update Date2011-06-27
Business Address
-- AUDREY SUSAN WAGNER M.D.
485 ARSENAL ST INTERNAL MEDICINE
WATERTOWN, MA 02472-5091
Phone number: 617-972-5200
Mailing Address
-- AUDREY SUSAN WAGNER M.D.
147 MILK ST PROVIDER ENROLLMENT - 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8374
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