National Provider Identifier
Benjamin John Wagner, P.A.
Benjamin John Wagner, P.A. is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Amherst, NY and a listed phone number of (716) 250-2000.
Profile Overview
- NPI
- 1447591565
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- March 14, 2013
- Last Updated
- May 03, 2017
Practice Location
- 3980 Sheridan Dr
- Amherst, NY 14226-1727
Phone: (716) 250-2000
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1447591565
- Entity Type
- Individual
- Last Name
- Wagner
- First Name
- Benjamin
- Middle Name
- John
- Credential
- P.A.
- Mailing Street Address
- 3980 Sheridan Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-1727
- Mailing Country
- US
- Mailing Phone
- (716) 250-2000
- Mailing Fax
- (716) 250-2040
- Practice Street Address
- 3980 Sheridan Dr
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-1727
- Practice Country
- US
- Practice Phone
- (716) 250-2000
- Practice Fax
- (716) 250-2040
- Enumeration Date
- March 14, 2013
- Last Updated
- May 03, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)