Individual
DR. CHARLES SETH WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
NMCP CARDIOLOGY, 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23704
(757) 953-1276
Mailing address
NAVAL MEDICAL CENTER PORTSMOUTH, 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23704
(757) 953-1276
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01066642A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
0101267882
VA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184820003
—
MD
Enumeration date
06/26/2007
Last updated
07/08/2021
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