Dr. Matthew Robert Wagner is a Port Jefferson Station, New York based male orthopedic surgeon who is specialized in Pediatric Orthopedic. Active license number of Dr. Matthew Robert Wagner is 251727 for Pediatric Orthopedic in New York.
Dr. Matthew Robert Wagner has done additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.
Complete Profile:
Dr. Matthew Robert Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Pediatric Orthopedic
Credentials:
MD
Gender:
Male
Practice Address:
1500 Route 112 Bldg 2c, Port Jefferson Station, New York, 11776-8055
Phone:
631-371-8034
Fax:
631-828-7899
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114198751
NPI Enumeration Date:
21 Mar, 2008
NPI Last Update On:
05 Nov, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Matthew Robert Wagner are as mentioned below.
License Number
Specialization
State
Status
251727
Pediatric Orthopedic
New York
Primary
ME103612
Pediatric Orthopedic
Florida
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Matthew Robert Wagner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
120130521000407
Other
New York
MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1500 Route 112 Bldg 2c, Port Jefferson Station, New York
Zip:
11776-8055
Phone Number:
631-371-8034
Fax Number:
631-828-7899
Patients can reach Dr. Matthew Robert Wagner at 1500 Route 112 Bldg 2c, Port Jefferson Station, New York or can call to book an appointment on 631-371-8034. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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