Jason E Wagner in Philadelphia - Critical Care Medicine
Jason E Wagner - NPI 1588729768
Jason E Wagner is a Critical Care Medicine in Philadelphia, Pennsylvania. Jason E Wagner practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Jason E Wagner is 1588729768. The last update date is 2019-09-27.
Jason E Wagner's current location address is 3400 Civic Center Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156623202. The mailing address for Jason E Wagner is 3400 Civic Center Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason E Wagner |
|---|---|
| Address | 3400 Civic Center Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2156623202 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1588729768 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2019-09-27 |
Provider Mailing Address Detail
| Address | 3400 Civic Center Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191045127 |
| Phone Number | 2156623202 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | MD435611 |
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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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What is the unique 10-digit identifier code issued to Jason E Wagner by the Centers for Medicare & Medicaid Services?
The Jason E Wagner has been assigned the NPI (National Provider Identifier) 1588729768 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jason E Wagner?
The Jason E Wagner is physically situated at 3400 Civic Center Blvd, in the city of Philadelphia, state of PA, with the postal code 191045127.
What is the Jason E Wagner's area of specialization and corresponding taxonomy classification?
The Jason E Wagner's specialty field is Critical Care Medicine, and it falls under the taxonomy code 207Rc0200X, which categorizes healthcare providers based on their specialties.
When did Jason E Wagner receive its 1588729768 assignment?
The Jason E Wagner was assigned its 1588729768 on 2006-12-27, which is the date when this unique identifier was issued to the organization.
As of what date were the Jason E Wagner's details last updated?
The information pertaining to the Jason E Wagner, including its address, specialty, and other details, was most recently updated on 2019-09-27.
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