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Individual

CHRISTINE ANNA WAGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
100 MADISON AVE, DEPT. OF PEDIATRIC ENDOCRINOLGY, BOX 53, MORRISTOWN, NJ 07960-6136
(973) 971-4340
(973) 290-7367
Mailing address
100 MADISON AVE, DEPT. OF PEDIATRIC ENDOCRINOLGY, BOX 53, MORRISTOWN, NJ 07960-6136
(973) 971-4340
(973) 290-7367

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
26NC06233300
NJ

Other

Enumeration date
02/15/2008
Last updated
06/11/2020
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