Jesse Wagner, M.D.

NPI #1528048428 in Middletown, Connecticut

Provider Information

NPI Number: 1528048428
Entity Type: Individual
Name: Jesse Wagner, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jan 18, 2006
Last Updated: Nov 11, 2009

Practice Location

Address: 28 CRESCENT ST
City: Middletown
State: Connecticut
ZIP Code: 06457-3654
Phone: (860) 358-4720

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary
Hospitalist	208M00000X

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