DR. JOHN D WAGNER MD MBA NPI 1033262340

NPI Information

DR. John D Wagner, MD, MBA is a nephrology internal medicine in Brooklyn, NY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. John D Wagner, MD, MBA NPI is 1033262340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

451 CLARKSON AVE RM B-1147
KINGS COUNTY HOSPITAL CENTER
BROOKLYN, NY
ZIP 11203-054
Phone: (718) 245-3921
Fax: (718) 245-5347

The NPI 1033262340 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 3/23/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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