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Individual
JOSEPH ROBERT WAGNER
Active
Individual
JOSEPH ROBERT WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
041512
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001415125
—
CT
01
—
010041512CT01
ANTHEM BCBS
CT
05
—
2020611
—
MA
01
—
227400
WELLCARE
CT
01
—
2V3291
HEALTH NET
CT
01
—
3231961
AETNA
CT
01
—
32475
HEALTH NEW ENGLAND
CT
01
—
3528766 009
CIGNA
CT
01
—
P2913141
OXFORD
CT
Enumeration date
10/04/2005
Last updated
02/05/2016
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