Robert Stanley Wagner
Physician Assistant in Washington, DC. Individual provider (NPI-1).
NPI number1265071419
StatusActive
Last updated in NPPESJun 1, 2026
Details
- NPI
- 1265071419
- Entity type
- Individual (NPI-1)
- Name
- Robert Stanley Wagner
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2020
- Certification date
- Jun 1, 2026
- Last updated
- Jun 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 035762 | NY | Yes |
Practice location
3800 Reservoir Rd Nw # 2phcWashington, DC 20007-2113
Phone 954-262-1250
Mailing address
3200 S University DrDavie, FL 33328-2018
Phone 954-262-1250
Other practice locations
630 W 168th St
New York, NY 10032-3725
New York, NY 10032-3725
Phone 202-305-2500
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