Wagner, Craig R
Wagner, Craig R is an individual health care provider with primary practice located at 509 N Broad St Underwood Hosp, Woodbury NJ 08096. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wagner, Craig R can be contacted via phone (856) 845-5836.Contact Information
Primary practice address
509 N Broad St Underwood Hosp
Woodbury NJ 08096
Phone: (856) 845-5836
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ||
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MB05214300 | New Jersey |
Profile Details
| NPI number | 1326033572 |
|---|---|
| LBN Legal business name | Wagner, Craig R |
| Credentials | DO ANESTHESIOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326033572 | NPPES |
| New Jersey | MEDICAID | 1442007 | |
| New Jersey | Other | 25MB05214300 | |
| New Jersey | Other | D04881500 |
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