Charles Wagner

NPI #1205819232 in New Castle, Pennsylvania

Provider Information

NPI Number: 1205819232
Entity Type: Individual
Name: Charles Wagner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Enumeration Date: Nov 23, 2005
Last Updated: Mar 25, 2021

Practice Location

Address: 1000 S MERCER ST
Address 2: 4TH FLOOR
City: New Castle
State: Pennsylvania
ZIP Code: 16101-4672
Phone: (724) 656-6090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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