| Ms Laura Beth Wagner, PA-C | |
|
14 Deerwood Dr, Clark, NJ 07066-2817 | |
| (732) 574-2481 | |
| Not Available |
| Full Name | Ms Laura Beth Wagner |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 14 Deerwood Dr, Clark, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518216332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 015966 (New York) | Primary |
| Entity Name | Hunterdon Orthopedic Institute PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619952595 PECOS PAC ID: 7012820574 Enrollment ID: O20031111000035 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Laura Beth Wagner, PA-C 14 Deerwood Dr, Clark, NJ 07066-2817 Ph: (732) 574-2481 | Ms Laura Beth Wagner, PA-C 14 Deerwood Dr, Clark, NJ 07066-2817 Ph: (732) 574-2481 |
Grace De La Cruz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1255 Raritan Rd Ste F4b, Clark, NJ 07066 Phone: 848-206-0072 |
Alexander Bull, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 Central Ave, Clark, NJ 07066 Phone: 732-943-5042 |
Jalpa Patel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1399 |
Lucy Tasharofi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Raritan Rd, Clark, NJ 07066 Phone: 848-206-0072 Fax: 848-206-0078 |
Mrs. Inga Bufano, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1075 Central Ave, Clark, NJ 07066 Phone: 732-574-1399 Fax: 732-574-1433 |
Tara Prisco, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 999 Raritan Rd, Clark, NJ 07066 Phone: 732-381-9418 Fax: 732-381-3733 |
Mrs. Melissa Petronella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1255 Raritan Rd Ste F4b, Clark, NJ 07066 Phone: 848-206-0078 Fax: 848-206-0078 |