Search › Massachusetts › 208100000X
Andrea Wagner, M.D
NPI 1326102617 · on the registry since 2006 · sole proprietor
Practice
- Address
- 236 Highland Ave
Somerville, MA 02143 - Phone
- (617) 591-4263
- Fax
- (617) 591-4272
- Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
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 Massachusetts