Wagner, Rudolph Steven
Wagner, Rudolph Steven is an sole proprietor health care provider with primary practice located at 288 Millburn Ave , Millburn NJ 07041-1622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wagner, Rudolph Steven can be contacted via phone (973) 912-9199.Contact Information
Primary practice address
288 Millburn Ave
Millburn NJ 07041-1622
Phone: (973) 912-9199
Fax: (973) 912-0800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA03649700 | New Jersey |
Profile Details
| NPI number | 1366484222 |
|---|---|
| LBN Legal business name | Wagner, Rudolph Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Apr 21st, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366484222 | NPPES |
| New Jersey | MEDICAID | 3070107 | |
| New Jersey | MEDICAID | 3070107-01 |
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