Individual
ALLISON R WAGREICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MADISON AVE # 109, WOMEN'S CANCER CENTER, MORRISTOWN, NJ 07960-6136
(973) 971-5900
(973) 290-7257
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 656-6280
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
228184
NY
207VX0201X
Gynecologic Oncology Physician
Primary
25MA07628100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009946
—
NJ
01
—
161814U77
MEDICARE PART B
NJ
Enumeration date
03/17/2009
Last updated
05/01/2015
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