Individual
JASON WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-8127
Mailing address
360 W RUDDLE ST, COALDALE, PA 18218-1027
(570) 645-8127
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD29116
ME
207P00000X
Emergency Medicine Physician
Primary
MD491113
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2015
Last updated
05/08/2026
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