Individual
DR. ROBERT AUSTIN WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 ROUTE 23 STE 300, WAYNE, NJ 07470-7520
(973) 942-4778
(973) 942-7020
Mailing address
1680 ROUTE 23 STE 300, WAYNE, NJ 07470-7520
(973) 942-4778
(973) 942-7020
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA07692900
NJ
2084N0600X
Clinical Neurophysiology Physician
25MA07692900
NJ
Other
Enumeration date
11/13/2006
Last updated
07/30/2019
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