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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JESSE WAGNER, M.D.

Active

JESSE WAGNER, M.D. is a Internal Medicine healthcare provider located in MIDDLETOWN, Connecticut. NPI 1528048428 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · MIDDLETOWN, CT

Registration Details

NPI Number
1528048428
Provider Type
Individual
Gender
Male
NPI Issued
Jan 18, 2006 (20.544891004252 yrs)
Last Updated
Nov 11, 2009
Licenses
036836 (CT)
036836 (CT)

Practice Information

Address
28 CRESCENT ST
MIDDLETOWN, CT, 064573654
Browse CT providers · Browse ZIP 06457
Phone
8603584720
Fax
8603586271
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Hospitalist

Other Internal Medicine Providers in MIDDLETOWN, CT

Name Credential NPI
DR. DAREN R ANDERSON MD 1306843529
MARINA RUXANDRA IONITA MD 1386639268
MR. ROBERT D STEIN MD 1407837883
LAURENCE CHONG M.D. 1689653867
LISA OCHOLA-TINKER M.D. 1053390179
KUANG-WEN TSAO M.D. 1023097144
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.