PHYLLIS J WAGNER MD
NPI 1770609844
Pediatrics in Cambridge, MA

Q: What is Phyllis Wagner's NPI number?

The NPI number for Phyllis Wagner is 1770609844. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Q: What is Phyllis Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Phyllis Wagner was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2007

4 CRAWFORD ST, CAMBRIDGE, MA 02139(617) 492-2855 Get Directions Write a Review

NPPES record last updated: November 4, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Phyllis J Wagner Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS J WAGNER MD (NPI 1770609844) is an individual pediatrics provider in Cambridge, Massachusetts, licensed in Massachusetts (37927) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1770609844

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NamePHYLLIS J WAGNERCredential: MD

Location Address4 CRAWFORD STCambridge, MA 02139-1624

Mailing AddressPo Box 380042Cambridge, MA 02238-0042

Phone(617) 492-2855

Sole ProprietorYes

Enumeration DateMarch 21, 2007

Last NPPES UpdateNovember 4, 2008

✔ NPI 1770609844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MA · 37927

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4 CRAWFORD ST, Cambridge, MA 02139

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Wagner's NPI number?

The NPI number for Phyllis Wagner is 1770609844. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Phyllis Wagner located?

Phyllis Wagner practices at 4 Crawford St, Cambridge, MA 02139. The listed phone number is (617) 492-2855.

What is Phyllis Wagner's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Phyllis Wagner was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.