Individual
ABHISHESH WAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S BLDG 1, BRONX, NY 10461-1197
(718) 918-7901
(718) 918-8364
Mailing address
1680 PELHAM PKWY S APT 614, BRONX, NY 10461-1137
(646) 639-5157
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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