Individual
DR. JOHN A WADE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2414 JEFFERSON AVE, POINT PLEASANT, WV 25550-1528
(304) 675-1244
(304) 675-1245
Mailing address
2414 JEFFERSON AVE, POINT PLEASANT, WV 25550-1528
(304) 675-1244
(304) 675-1245
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
WV10321
WV
207Y00000X
Otolaryngology Physician
Primary
WV10321
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001719894
BLUE CROSS BLUE SHIELD
WV
05
—
0101405000
—
WV
05
—
0363655
—
OH
Enumeration date
03/02/2007
Last updated
05/26/2022
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