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Primary Practice Address
1500 ROUTE 112 BLDG 2C
PORT JEFFERSON STATION, NY 11776-8055 US
PECOS Enrolled

Matthew Robert Wagner

Orthopaedic Surgeon (Pediatric)

  • PORT JEFFERSON STATION, NY
  • Phone: (631)-371-8034
  • Last Updated 11/5/2019

Overview

Matthew Robert Wagner is a Orthopaedic Surgeon (Pediatric) in the PORT JEFFERSON STATION area. Matthew Robert Wagner primary office location is at 1500 ROUTE 112 BLDG 2C and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1114198751 and the information was updated approximately 6 years ago.

Matthew Robert Wagner is affiliated with one medical group in the PORT JEFFERSON STATION area, CHS PHYSICIAN PARTNERS PC.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
1500 ROUTE 112 BLDG 2C
PORT JEFFERSON STATION, NY 11776-8055 US
Phone: (631)-371-8034
Fax:
Practice Mailing Information
1500 ROUTE 112 BLDG 2C
PORT JEFFERSON STATION, NY 11776-8055 US
Phone: (631)-371-8034
Fax: (631)-828-7899

Practice Location Addresses: 1

License Number State
251727 NY
ME103612 FL