Individual
ANDREW MICHAEL WADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, LDN
Contact information
Practice address
5750 BAUM BLVD STE 306, PITTSBURGH, PA 15206-3793
(412) 593-2048
(844) 311-7396
Mailing address
5750 BAUM BLVD STE 306, PITTSBURGH, PA 15206-3793
(412) 593-2048
(844) 311-7396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005123
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029948680001
—
PA
Enumeration date
07/01/2014
Last updated
11/10/2022
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