Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phyllis J Wagner, MD

Individual provider Pediatrics Physician · NPI 1770609844

Phyllis J Wagner, MD is a Pediatrics Physician in Cambridge, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4 Crawford St
Cambridge, MA 02139-1624
Phone: (617) 492-2855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 37927 (MA)

Record details

NPI number1770609844
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 21, 2007
Last updated in NPPESNovember 4, 2008
Mailing addressPo Box 380042, Cambridge, MA 02238-0042

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