Search › Pennsylvania › 208600000X
Ida Wagner, M.D
NPI 1689839177 · on the registry since 2008
Practice
- Address
- 3509 N Broad St
Philadelphia, PA 19140 - Phone
- (215) 707-3933
- Fax
- (215) 707-2531
- Organisation at this address
- Pediatric Dental Assoc Ltd
Temple University Hospital
Vna Of Greater Philadelphia
Concentra Health Services, Inc
Temple Faculty Practice Plan IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 266
Additional practice sites
- 1311 Fairview Blvd Ste B, Delran, NJ
- 570 Egg Harbor Rd Ste B1, Sewell, NJ
- 200 Bowman Dr Ste E140, Voorhees, NJ
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
- Licence states on file
- PA, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-24
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 Pennsylvania