Individual
DR. PHILIP J WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, HSS DEPT. OF ANESTHESIOLOGY, NEW YORK, NY 10021-4823
(212) 774-2383
(212) 774-7808
Mailing address
GPO BOX 27578, NEW YORK, NY 10087-7578
(844) 268-4820
(631) 201-3179
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
206778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914910
—
NY
01
—
206778
STATE LICENSE
NY
01
—
33977
STATE LICENSE
CT
01
—
ME139303
STATE LICENSE
FL
Enumeration date
06/20/2006
Last updated
10/23/2024
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