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Individual

DR. JAMES C WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 EAST MOUNTAIN BLVD., WILKES-BARRE, PA 18711-3486
(570) 808-6150
(570) 808-6174
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
44131
WI
207RX0202X
Medical Oncology Physician
Primary
MD446909
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003000261K
HUMANA
05
102762237
PA
05
34162000
WI
Enumeration date
05/12/2006
Last updated
05/04/2015
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