Individual
CHARLES WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 S MERCER ST, 4TH FLOOR, NEW CASTLE, PA 16101-4672
(724) 656-6090
Mailing address
2 HOT METAL ST, QUANTUM ONE SUITE 001, PITTSBURGH, PA 15203-2348
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS015833
PA
Other
Enumeration date
11/23/2005
Last updated
03/25/2021
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