DR. MARK WAGNER


Address: 23 Pokonoket Ave, Sudbury, MA 01776-2320
Phone: 9784436769

DR. MARK WAGNER (NPI# 1780737924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780737924
Entity Type Individual
Full Name DR. MARK WAGNER
Other Name DR. JOHN MARK WAGNER
Credential PSY.D.
Practice Address 23 Pokonoket Ave
Sudbury
MA 01776-2320
Practice Telephone 9784436769
Mailing Telephone 9784436769
Enumeration Date 2007-01-19
Last Update Date 2008-05-01
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
4472 MA Behavioral Health & Social Service Providers

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Office Location

Street Address 23 POKONOKET AVE
City SUDBURY
State MA
Zip Code 01776-2320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245455138 Mara Sanadi Wagner Psychologist 23 Pokonoket Ave, Sudbury, MA 01776-2320 2007-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861957730 Acupuncture Family Practice Occupational Therapist 75 Union Avenue, Sudbury, MA 01776 2019-02-05
1730685017 Jay B. Krasner M.d. Internal Medicine 111 Boston Post Rd. Ste 107, Sudbury, MA 01776 2018-04-04
1902326317 Mary A Tonelli Registered Nurse 34 Robert Best Road, Sudbury, MA 01776 2017-06-27
1043761471 Alice Hsu Pharmacist 423 Boston Post Road, Sudbury, MA 01776 2016-10-20
1861815656 Northeast Allergy Asthma & Immunology, PC Allergy & Immunology 616 Boston Post Road, Sudbury, MA 01776 2014-01-29
1053605956 April R Middleton Counselor 365 Boston Post Rd Suite 314, Sudbury, MA 01776 2011-06-08
1720301930 Selim C. Alptekin Dmd, P.C. Dentist 708 Boston Post Rd, Sudbury, MA 01776 2010-03-03
1730322751 Alexandra Cronin Physical Therapist 799 Boston Post Rd, Sudbury, MA 01776 2009-04-07
1629276480 Joel Jay Goldstein Psychologist 30 Nobscot Rd, Unit 11, Sudbury, MA 01776 2007-07-03
1932301751 Samuel J. Sinclair Psychologist Samuel Justin Sinclair, Ph.d. Pllc, 345 Boston Post Road, Sudbury, MA 01776 2007-06-04
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1629276480 Joel Jay Goldstein Psychologist 30 Nobscot Rd, Unit 11, Sudbury, MA 01776 2007-07-03
1932301751 Samuel J. Sinclair Psychologist Samuel Justin Sinclair, Ph.d. Pllc, 345 Boston Post Road, Sudbury, MA 01776 2007-06-04
1902822489 Lisa Manzi Lentino Psychologist 416 Boston Post Rd, Sudbury, MA 01776-3016 2006-07-15
1891721809 Richard Thomas Monahan Psychologist 147 Powers Rd, Sudbury, MA 01776-1043 2006-06-23
1205879145 Steven C Fischer Psychologist 24 Wildwood Ln, Sudbury, MA 01776-2253 2006-06-14
1245455138 Mara Sanadi Wagner Psychologist 23 Pokonoket Ave, Sudbury, MA 01776-2320 2007-04-16

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Competitor

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City SUDBURY
Zip Code 01776

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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