# JUSTIN G WADE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467539676
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | D0066569 | MD | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 259147-000 | MAGELLAN | MD |
| 01 | — | 346646 | MHN | MD |
| 01 | — | 517251 | UBH | MD |
| 01 | — | 522156095 | COMMERCIAL INSURANCE | MD |
| 05 | — | 609550001 | — | MD |
| 05 | — | 609550002 | — | MD |
| 05 | — | 609550004 | — | MD |
| 01 | — | LM49EA | CAREFIRST BCBS | MD |
| 01 | — | R968 | CAREFIRST BCBS-FEDERAL | MD |