Individual
DR. ANJU WAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(221) 304-7250
(212) 544-1974
Mailing address
285 MIDVALE ST, RIDGEWOOD, NJ 07450-4936
(201) 251-2363
(201) 251-2363
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
210585
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01860186
—
NY
Enumeration date
04/04/2006
Last updated
03/09/2023
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