JESSE WAGNER, M.D.

Internal Medicine

Active Individual
NPI: 1528048428

Practice Address

28 CRESCENT ST
Middletown, CT 06457

Phone: (860) 358-4720

Specialties

Specialty Code Primary License
Internal Medicine 207R00000X Yes 036836 (CT)
Hospitalist 208M00000X No 036836 (CT)

Frequently Asked Questions

NPI 1528048428 is the National Provider Identifier for JESSE WAGNER, M.D., a Internal Medicine provider located in Middletown, CT. This NPI was enumerated on January 18, 2006.
JESSE WAGNER, M.D. practices at 28 CRESCENT ST, Middletown, CT 06457.

Quick Facts

NPI
1528048428
Type
Individual
Enumerated
Jan 18, 2006
Last Updated
Nov 11, 2009

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