Benjamin Alexander Wagner, MD
Hospitalist in Boston, MA. Individual provider (NPI-1).
NPI number1164045175
StatusActive
Last updated in NPPESSep 12, 2025
Details
- NPI
- 1164045175
- Entity type
- Individual (NPI-1)
- Name
- Benjamin Alexander Wagner
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 26, 2020
- Certification date
- Sep 12, 2025
- Last updated
- Sep 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 1013795 | MA | Yes |
Practice location
330 Brookline AveBoston, MA 02215-5491
Phone 617-667-7000
Mailing address
330 Brookline AveBoston, MA 02215-5491
Phone 617-667-7000
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