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Individual

CHRISTOPHER S. VAGNONI

Active
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Individual

CHRISTOPHER S. VAGNONI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35521
SC
207R00000X
Internal Medicine Physician
D0059987
MD
208000000X
Pediatrics Physician
D0059987
MD
208M00000X
Hospitalist Physician
Primary
35521
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1812767000
—
WV
05
—
404927600 01
—
MD
01
—
641385 02
CAREFIRST BC BS
MD
01
—
641385 01
CAREFIRST BC BS
MD
01
—
J697 002
BLUE CHOICE
DC
01
—
P00135051
TRAVELERS MEDICARE
MD
Enumeration date
12/21/2005
Last updated
05/20/2019
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