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Individual

EDWARD M WAGMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1140 CARLISLE RD, CAMP HILL, PA 17011-6202
(717) 761-3153
Mailing address
1140 CARLISLE RD, CAMP HILL, PA 17011-6202
(717) 761-3153

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5072
PA

Other

Enumeration date
06/02/2005
Last updated
09/23/2011
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