Harold B Wagner OD

NPI 1013974302 - Optometrist - 152W00000X

NPI Details
NPI 1013974302
Gender Male
Enumeration Date 04/28/2006
Last Updated 06/08/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
300 PLAZA CT
STE A
EAST STROUDSBURG PA, 18301-8260, US
Phone (570) 421-8842
Fax (570) 476-5842
Business Location
300 PLAZA CT
SUITE A
EAST STROUDSBURG PA, 18301-8260, US
Phone (570) 421-8842
Fax (570) 476-5842
Toxanomy
Taxonomy Code 152W00000X
License State Pennsylvania
License Number OE005581T
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According to our database, Dr. Harold B Wagner OD NPI is 1013974302, taxonomy code is 152W00000X and license number is OE005581T, license state is located at Pennsylvania. Harold B Wagner OD physically located at 300 Plaza Ct, East Stroudsburg PA, 18301-8260. NPI Number Harold B Wagner OD has the Individual type.

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1013974302 NPI number is provided on an as is basis without warranty of any kind. 1013974302 is maintained by the National Plan & Provider Enumeration System. The contents of Harold B Wagner OD are for informational purposes only.