Matthew R. Wagner, MD
Pediatric Orthopaedics · Port Jefferson Station, NY
UnclaimedMDNPI 1114198751
- Primary taxonomy
- 207XP3100X
- Enumerated
- 2008-03-21
- Practice location
- Port Jefferson Station, NY
- Last NPPES update
- 2019-11-05
State licenses
- FL · Physician · NPPES self-reportedListed on NPI record
- NY · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.