Isaac R Wagner I M.D.

NPI 1154528610 - General Practice - 208D00000X

NPI Details
NPI 1154528610
Gender Male
Enumeration Date 06/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
HC 67 BOX 17775
FAJARDO PR, 00738-9701, US
Phone (787) 863-4904
Fax (787) 863-4904
Business Location
HC 67 BOX 17775
FAJARDO PR, 00738-9701, US
Phone (787) 863-4904
Fax (787) 863-4904
Toxanomy
Taxonomy Code 208D00000X
License State Puerto Rico
License Number 5316
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According to our database, Dr. Isaac R Wagner I M.D. NPI is 1154528610, taxonomy code is 208D00000X and license number is 5316, license state is located at Puerto Rico. Isaac R Wagner I M.D. physically located at Hc 67 Box 17775, Fajardo PR, 00738-9701. NPI Number Isaac R Wagner I M.D. has the Individual type.

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1154528610 NPI number is provided on an as is basis without warranty of any kind. 1154528610 is maintained by the National Plan & Provider Enumeration System. The contents of Isaac R Wagner I M.D. are for informational purposes only.