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FREDERICK J JR WAGNER

Debarred entity

FREDERICK J JR WAGNER is a person of interest. They have not been found on international sanctions lists.

Type	Person				[sources]
Name	FREDERICK J JR WAGNER · FREDERICK J WAGNER				[sources]
Birth date	1947-11-04				[sources]
Nationality	not available				[sources]
Country	United States				[sources]
First name	FREDERICK				[sources]
Last name	WAGNER				[sources]
Middle name	J JR				[sources]
NPI	`1013052257`				[sources]
Sector	OPTOMETRIST				[sources]
Position	OPTOMETRY (IND- LIC HC SERV PRO)				[sources]
Address	101 KIMBALL ROAD, APT 79999, CARLISLE, MA 01741				[sources]
Last change	2026-01-06	Last processed	2026-02-15	First seen	2024-07-10

Sanctions
Country	Authority	Program	Start date	End date
United States	MassHealth		2022-03-22	-

Providers who have been suspended or excluded from the MassHealth program.

United States · MassHealth

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-medma-5b56f8a4682b620feffdb52de11526ac625fd554 · us-fed-excl-frederick-j-jr-wagner-01741-carlisle · us-npi-1013052257

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