Individual
WENDY J WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
620 CRANBURY RD, STE LL90, EAST BRUNSWICK, NJ 08816-4098
(732) 257-0081
(732) 257-0499
Mailing address
PO BOX 22581, NEW YORK, NY 10087-2581
(610) 482-4795
(856) 528-3117
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA06838000
NJ
Other
Enumeration date
04/25/2006
Last updated
07/28/2021
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