Search › Connecticut › 207RE0101X
Diana Wagner, M.D
NPI 1790893022 · on the registry since 2006
Practice
- Address
- 460 Hartford Tpke Ste A
Vernon, CT 06066 - Phone
- (860) 896-4877
- Fax
- (860) 896-4876
- Organisation at this address
- Total Renal Care Inc
Connecticut Back Center Llc
Connecticut Back Center Llc
Eastern Connecticut Gastroenterology,LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207R00000X
- Licence states on file
- WI, CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-04-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut