Search › New Jersey › 363A00000X

Laura Wagner, PA-C

NPI 1518216332 · on the registry since 2012

Practice

Address
14 Deerwood Dr
Clark, NJ 07066
Phone
(732) 574-2481

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-07

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 Jersey