Individual
DR. WADE JOSEPH GEBARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
725 NORTH ST, DEPARTMENT OF RADIATION ONCOLOGY, PITTSFIELD, MA 01201-4109
(413) 447-2461
Mailing address
149 OBLONG RD, WILLIAMSTOWN, MA 01267-3038
(413) 458-9975
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
209218
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000023752
MASS HEALTH NET PROVIDER
MA
05
—
01813203
—
MA
01
—
1007786
VERMONT HEALTH ACCESS
VT
05
—
1007786
—
VT
01
—
9714677
MASS HEALTH PROVIDER
MA
Enumeration date
09/24/2006
Last updated
07/09/2007
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