DAVID RUSSELL WAGNER

BRONX, NY
NPI1811129547
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: NY  270163)
Enumeration Date2009-08-13
Last Update Date2017-02-03
Business Address
-- DAVID RUSSELL WAGNER M.D.
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5717
Mailing Address
-- DAVID RUSSELL WAGNER M.D.
253 W 72ND ST APT 1703
NEW YORK, NY 10023-2709
Phone number: 702-994-2479
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