Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN RAYMOND WAGNER, M.D.
ActiveJOHN RAYMOND WAGNER, M.D. is a Obstetrics & Gynecology healthcare provider located in EAST NORTHPORT, New York. NPI 1538120704 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · EAST NORTHPORT, NY
Registration Details
- NPI Number
- 1538120704
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2006 (20.402989122845 yrs)
- Last Updated
- Jul 8, 2007
- License
-
181212 (NY)
Practice Information
- Address
-
7 PULASKI RDEAST NORTHPORT, NY, 117312442Browse NY providers · Browse ZIP 11731
- Phone
- 6312613322
- Fax
- 6313685440
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
Other Obstetrics & Gynecology Providers in EAST NORTHPORT, NY
| Name | Credential | NPI |
|---|---|---|
| THEODORE LYLE GOLDMAN | M.D. | 1912968181 |
| DR. CHAU H LEE | DO | 1407814080 |
| MARTIN I GRANOFF | MD | 1326078916 |
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.