Randall P Wagner in Rockville - Critical Care Medicine

Randall P Wagner - NPI 1609812007

Randall P Wagner is a Critical Care Medicine in Rockville, Maryland. Randall P Wagner practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Randall P Wagner is 1609812007. The last update date is 2007-07-08.

Randall P Wagner's current location address is 1300 Piccard Drive, Rockville, Maryland. You can contact this provider via phone number 3019217900 and fax number 3019217915. The mailing address for Randall P Wagner is 1300 Piccard Drive, Rockville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall P Wagner
Address 1300 Piccard Drive, Rockville, Maryland
Phone Number 3019217900
Fax Number 3019217915
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1609812007
Provider Enumeration Date 2006-06-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1300 Piccard Drive
City Rockville
State Maryland (MD)
Post Code 208504303
Phone Number 3019217900
Fax Number 3019217915

Provider's Primary Taxonomy Detail

Speciality Critical Care Medicine
Taxonomy 207Rc0200X
Licence No 44957
Definition:
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia

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FAQs about Randall P Wagner

What is the unique provider identifier assigned to Randall P Wagner?

The Randall P Wagner has been issued the NPI (National Provider Identifier) 1609812007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Randall P Wagner?

The Randall P Wagner is physically situated at 1300 Piccard Drive, in the city of Rockville, state of MD, with the postal code 208504303.

What is the Randall P Wagner's specialty and taxonomy code?

The Randall P Wagner's specialty is Critical Care Medicine, and the corresponding taxonomy code is 207Rc0200X.

On what date did Randall P Wagner receive its 1609812007 assignment from the Centers for Medicare & Medicaid Services?

The Randall P Wagner was assigned its 1609812007 on 2006-06-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Randall P Wagner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Randall P Wagner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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