Wagner, Jeffrey Allan

Wagner, Jeffrey Allan is an individual health care provider with primary practice located at 300 Seaside Ave , Milford CT 06460-4603. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wagner, Jeffrey Allan can be contacted via phone (203) 876-4178.

Contact Information

Primary practice address
300 Seaside Ave Milford CT 06460-4603
Phone: (203) 876-4178
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 023271 Connecticut

Profile Details

NPI number 1235127044
LBN Legal business name Wagner, Jeffrey Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 8th, 2007 - about 19 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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