NPI 1104054923

Marie Susan Wagener, DO

Practitioner Dermatology Physician Allentown, PA

Practice location

Address: 250 Cetronia Rd Suite 301, Allentown, PA 18104-9147
Phone: (610) 437-2378

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence OS016478 (PA)

Other Dermatology providers in Pennsylvania →

Registry record

NPI: 1104054923
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2009
Record last updated: 19 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.