Robert J Wagner JR.
Surgeon Family Doctor - Adult Medicine
5801 Allentown Rd Suite 502
Camp Springs
, Maryland 20746
Robert J Wagner JR.
Surgeon Family Doctor - Adult Medicine
5801 Allentown Rd Suite 502
Camp Springs
, Maryland 20746
(240) 492-2070
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About
Features
Specialties
- Family Doctor - Adult Medicine
- Surgeon
Languages spoken
- English
Location
First Address
- Robert J Wagner JR.
- 5801 Allentown Rd Suite 502
- Camp Springs, MD
- Zip : 20746-4563
- Fax : (240) 492-2070
- Phone : (240) 427-1630
Second Address
- Robert J Wagner JR.
- 5801 Allentown Rd Suite 502
- Camp Springs, MD
- Zip : 20746
- Fax : (240) 492-2070
- Phone : (240) 427-1630
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QA0505X | Family Doctor - Adult Medicine | H0061922 | MD |
| Y | 208200000X | Surgeon | H0061922 | MD |
| Y | 208600000X | Surgeon | H0061922 | MD |
National Provider Identifier
| NPI | 1164419081 |
|---|---|
| Provider Name | Robert J Wagner JR. |
| First Address | Camp Springs, MD 20746-4563 |
| Second Address | Camp Springs, MD 20746 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/10/2005 |
| Last Update Date | 14/05/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| H43765 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.