IndividualActive
Alexei Wagner, M.D.
NPI 1750693891 · Emergency Medicine Physician · Boston, MA
Provider details
- NPI number
- 1750693891
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A125137 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
55 Fruit St
Boston, MA 02114-2696
Phone: (617) 724-4100
Approximate (ZIP-level) locationGet directions
Mailing address
55 Fruit St
Boston, MA 02114-2621
Registry dates
- Enumerated
- 2010-07-06
- Last updated
- 2022-02-11
- Certified
- 2022-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.