Kathryn Emily Wagner, | |
455 Lewis Ave Ste 205, Meriden, CT 06451-2121 | |
(203) 238-1241 | |
(203) 686-0791 |
Full Name | Kathryn Emily Wagner |
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Gender | Female |
Speciality | Urology |
Location | 455 Lewis Ave Ste 205, Meriden, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598297756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 72343 (Connecticut) | Primary |
Entity Name | Hartford Healthcare Medical Group Specialists Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
Mailing Address | Practice Location Address |
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Kathryn Emily Wagner, 1290 Silas Deane Hwy, Hartford Healthcare-cvo, Wethersfield, CT 06109-4337 Ph: () - | Kathryn Emily Wagner, 455 Lewis Ave Ste 205, Meriden, CT 06451-2121 Ph: (203) 238-1241 |
Robert F Morrison, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 455 Lewis Ave, Ste 210, Meriden, CT 06451 Phone: 203-238-1241 Fax: 203-686-0791 | |
Dr. Paul Pyo, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 455 Lewis Ave, Suite 210, Meriden, CT 06451 Phone: 203-238-1241 Fax: 203-686-0791 | |
Kenneth R Kurz, Urology Medicare: Not Enrolled in Medicare Practice Location: 455 Lewis Ave, Ste 210, Meriden, CT 06451 Phone: 203-238-1241 Fax: 203-686-0791 | |
Jean F. Wong, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 455 Lewis Ave, Suite 210, Meriden, CT 06451 Phone: 203-238-1241 Fax: 203-686-0791 |