Wagner, Cliff W

Wagner, Cliff W is an individual health care provider with primary practice located at 2909 Berlin Tpke , Newington CT 06111-4115. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Wagner, Cliff W can be contacted via phone (860) 436-3757.

Contact Information

Primary practice address
2909 Berlin Tpke Newington CT 06111-4115
Fax: (860) 436-9622
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 030264 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 030264 Connecticut

Profile Details

NPI number 1407977119
LBN Legal business name Wagner, Cliff W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated May 15th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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