Randall P Wagner MD

NPI 1609812007 - Internal Medicine - 207RC0200X

NPI Details
NPI 1609812007
Gender Male
Enumeration Date 06/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
WASHINGTON ADVENTIST HOSPITAL
7600 CARROLL AVENUE
TAKOMA PARK MD, 20912, US
Phone (301) 891-5957
Fax
Business Location
1300 PICCARD DRIVE
SUITE 202
ROCKVILLE MD, 20850-4303, US
Phone (301) 921-7900
Fax (301) 921-7915
Toxanomy
Taxonomy Code 207RC0200X
License State Maryland
License Number 00044957
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According to our database, Randall P Wagner MD NPI is 1609812007, taxonomy code is 207RC0200X and license number is 00044957, license state is located at Maryland. Randall P Wagner MD physically located at Washington Adventist Hospital, Takoma Park MD, 20912. NPI Number Randall P Wagner MD has the Individual type.

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1609812007 NPI number is provided on an as is basis without warranty of any kind. 1609812007 is maintained by the National Plan & Provider Enumeration System. The contents of Randall P Wagner MD are for informational purposes only.