Ida Janelle Wagner in Philadelphia - Surgery
Ida Janelle Wagner - NPI 1689839177
Ida Janelle Wagner is a Surgery in Philadelphia, Pennsylvania. Ida Janelle Wagner practices all healthcare services and medical treatments related to Surgery. The NPI Number for Ida Janelle Wagner is 1689839177. The last update date is 2022-08-24.
Ida Janelle Wagner's current location address is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157073933 and fax number 2157072531. The mailing address for Ida Janelle Wagner is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ida Janelle Wagner |
|---|---|
| Address | 2450 W Hunting Park Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157073933 |
| Fax Number | 2157072531 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689839177 |
|---|---|
| Provider Enumeration Date | 2008-07-23 |
| Last Updated Date | 2022-08-24 |
Provider Mailing Address Detail
| Address | 2450 W Hunting Park Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191291302 |
| Phone Number | 2157073933 |
| Fax Number | 2157072531 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD434346 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Ida Janelle Wagner?
The Ida Janelle Wagner has been issued the NPI (National Provider Identifier) 1689839177 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Ida Janelle Wagner?
The Ida Janelle Wagner is situated at 2450 W Hunting Park Ave, in the city of Philadelphia, state of PA, with the zip code 191291302.
What is Ida Janelle Wagner's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ida Janelle Wagner is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1689839177 to Ida Janelle Wagner?
The Centers for Medicare & Medicaid Services assigned the 1689839177 to Ida Janelle Wagner on 2008-07-23.
When was the information regarding Ida Janelle Wagner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ida Janelle Wagner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-08-24.