License holder summary

WAGNER PHYLLIS JEAN is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for WAGNER PHYLLIS JEAN is CAMBRIDGE MA. This doctor license is not current. The license was granted 08/17/1972.

New York

Office of the Professions

WAGNER PHYLLIS JEAN
Medicine (Physician, Including M Ds & D Os)
License number
113219
Date granted
08/17/1972
Class
Medicine (Physician, Including M Ds & D Os)
Status
Not Registered
Address
CAMBRIDGE MA
nymedicine.org
ID 30304719
LAST UPDATED 2024-02-23 15:31:32 UTC

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