Individual
BENJAMIN ALEXANDER WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-7000
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-7000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1013795
MA
Other
Enumeration date
05/26/2020
Last updated
09/12/2025
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