IndividualActive
Benjamin Wagenman, MD
NPI 1467636951 · Clinical Pathology Physician · Albuquerque, NM
Provider details
- NPI number
- 1467636951
- Entity type
- Individual
- Primary specialty
- Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD2011-0037 (NM)
Practice location
1100 Central Ave Se
Phs- Lab - S1 Level
Albuquerque, NM 87106-4930
Phone: (505) 841-1330
Mailing address
1100 Central Ave Se
Albuquerque, NM 87106-4930
Registry dates
- Enumerated
- 2007-12-20
- Last updated
- 2012-11-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.