Richard Kent Wagner in Farmington - Maternal & Fetal Medicine

Richard Kent Wagner - NPI 1003858952

Richard Kent Wagner is a Maternal & Fetal Medicine in Farmington, Connecticut. Richard Kent Wagner practices all healthcare services and medical treatments related to Maternal & Fetal Medicine. The NPI Number for Richard Kent Wagner is 1003858952. The last update date is 2021-04-05.

Richard Kent Wagner's current location address is 263 Farmington Avenue, Farmington, Connecticut. You can contact this provider via phone number 8606793387 and fax number 8606791494. The mailing address for Richard Kent Wagner is 263 Farmington Avenue, Farmington, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Kent Wagner
Address 263 Farmington Avenue, Farmington, Connecticut
Phone Number 8606793387
Fax Number 8606791494
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1003858952
Provider Enumeration Date 2006-06-12
Last Updated Date 2021-04-05

Provider Mailing Address Detail

Address 263 Farmington Avenue
City Farmington
State Connecticut (CT)
Post Code 60308085
Phone Number 8606793387
Fax Number 8606791494

Provider's Primary Taxonomy Detail

Speciality Maternal & Fetal Medicine
Taxonomy 207Vm0101X
Licence No Q9542
Definition:
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3079002 MS --
160058729 RR MEDICARE
4039002 BCBS
8LP486 TX BCBS
362343103 TX --
P02351968 TX MEDICARE RAIL ROAD
3862861 TN --
861880 TX MEDICARE

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FAQs about Richard Kent Wagner

What is the Richard Kent Wagner's unique identification number?

The Richard Kent Wagner has been assigned the NPI (National Provider Identifier) Number 1003858952 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Richard Kent Wagner?

The Richard Kent Wagner is physically situated at 263 Farmington Avenue, in the city of Farmington, state of CT, with the postal code 60308085.

What is Richard Kent Wagner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Richard Kent Wagner is Maternal & Fetal Medicine, and the taxonomy code that categorizes this field of expertise is 207Vm0101X.

On what date did the Richard Kent Wagner receive the assignment of its 1003858952 from the Centers for Medicare & Medicaid Services?

The Richard Kent Wagner was issued its 1003858952 by the Centers for Medicare & Medicaid Services on 2006-06-12.

As of what date was the information regarding Richard Kent Wagner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Richard Kent Wagner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-05.

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