Individual
FERNANDA CABRAL WAGENHEIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2455
(781) 624-8000
Mailing address
PO BOX 200694, PITTSBURGH, PA 15251-0694
(833) 324-6904
(302) 440-5783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
250622
MA
2085R0202X
Diagnostic Radiology Physician
Primary
269816
MA
Other
Enumeration date
07/12/2012
Last updated
02/24/2026
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