Individual
DR. EDWARD WAGMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
39 ISLE OF WIGHT ROAD, EAST HAMPTON, NY 11937
(631) 324-9474
(631) 329-9810
Mailing address
39 ISLE OF WIGHT ROAD, EAST HAMPTON, NY 11937
(631) 324-9474
(631) 329-9810
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
093618-1
NY
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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