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WGM OBSTETRICS AND GYNECOLOGYPC NPI 1346200912


NPI Information

NPI: 1346200912
Provider Name: WGM OBSTETRICS AND GYNECOLOGY,PC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 33D0726691

Address:
7 PULASKI RD
EAST NORTHPORT, NY
ZIP 11731
Phone: (631) 261-3322
Get Directions

WGM OBSTETRICS AND GYNECOLOGY,PC is an obstetrics gynecology in East Northport, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WGM OBSTETRICS AND GYNECOLOGY,PC NPI is 1346200912. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7 PULASKI RD
EAST NORTHPORT, NY
ZIP 11731-442
Phone: (631) 261-3322
Fax: (631) 368-5440

The provider's authorized official is John Wagner .
The authorized official title is President and has the following contact phone number (631) 261-3322.

The CLIA number assigned to this NPI record is 33D0726691 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/27/2006 and was last updated on 4/29/2010.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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