Dr. Matthew Robert Wagner, MD
Dr. Matthew Robert Wagner, MD is a Pediatric Orthopaedic Surgery Physician in Port Jefferson Station, New York. Practices as a sole proprietor and works from 2 locations. Licensed in Florida and New York.
- Licensed in
- FL, NY
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1500 Route 112 Bldg 2CPort Jefferson Station, NY 11776-8055
Phone: (631) 371-8034
Fax: (631) 828-7899
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 500 Commack Rd Unit 150, Commack, NY 11725-5009 — (631) 371-8034
Specialties & licences
| Pediatric Orthopaedic Surgery Physician (primary) | Taxonomy 207XP3100X · Licence 251727 (NY) |
|---|---|
| Pediatric Orthopaedic Surgery Physician | Taxonomy 207XP3100X · Licence ME103612 (FL) |
Record details
| NPI number | 1114198751 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 21, 2008 |
| Last updated in NPPES | November 5, 2019 |