Individual
ROBERT J WAGNER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5801 ALLENTOWN RD, SUITE 502, CAMP SPRINGS, MD 20746
(240) 427-1630
(240) 492-2070
Mailing address
5801 ALLENTOWN RD, SUITE 502, CAMP SPRINGS, MD 20746-4563
(240) 427-1630
(240) 492-2070
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
H0061922
MD
208600000X
Surgery Physician
Primary
H0061922
MD
Other
Enumeration date
10/05/2005
Last updated
05/14/2018
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