Audrey Susan Wagner, M.D.

NPI #1639127152 in Watertown, Massachusetts

Provider Information

NPI Number: 1639127152
Entity Type: Individual
Name: Audrey Susan Wagner, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 5, 2006
Last Updated: Jun 27, 2011

Practice Location

Address: 485 ARSENAL ST
Address 2: INTERNAL MEDICINE
City: Watertown
State: Massachusetts
ZIP Code: 02472-5091
Phone: (617) 972-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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