Duong Wagner, Thanh H

Duong Wagner, Thanh H is an individual health care provider with primary practice located at 1411 N Flagler Dr Ste 8000 , West Palm Beach FL 33401-3413. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Duong Wagner, Thanh H can be contacted via phone (561) 655-1318.

Contact Information

Primary practice address
1411 N Flagler Dr Ste 8000 West Palm Beach FL 33401-3413
Phone: (561) 655-1318
Fax: (561) 655-6623
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 22999 Wisconsin
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME77423 Florida

Profile Details

NPI number 1720088230
LBN Legal business name Duong Wagner, Thanh H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Sep 14th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720088230 NPPES
Alabama MEDICAID 009926650
Alabama MEDICAID 2594315 00

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