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1811129547
DAVID RUSSELL WAGNER
BRONX, NY
NPI
1811129547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 270163)
Enumeration Date
2009-08-13
Last Update Date
2017-02-03
Business Address
-- DAVID RUSSELL WAGNER M.D.
234 E 149TH ST
BRONX, NY 10451-5504
Phone number: 718-579-5717
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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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