Search › New York › Pediatric Orthopaedic Surgery Physician
Matthew Wagner, MD
NPI 1114198751 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1500 Route 112 Bldg 2c
Port Jefferson Station, NY 11776 - Phone
- (631) 371-8034
- Fax
- (631) 828-7899
- Organisation at this address
- Thomas P. Erhart Do Pc
Port Jefferson Asc, Llc
True North Medical Group Pc
Away From Home Senior Day Care
Harbor View Medical Services PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 69
Additional practice sites
- 500 Commack Rd Unit 150, Commack, NY
Registry record
- Primary taxonomy
- Pediatric Orthopaedic Surgery Physician
207XP3100X
- Also registered as
- Pediatric Orthopaedic Surgery Physician
- Licence states on file
- FL, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York