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Individual

LARREN WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5194 DAWES AVE, LARREN WADE MD INTERNAL MEDICINE, ALEXANDRIA, VA 22311
(703) 671-9530
(703) 671-0331
Mailing address
5194 DAWES AVE, LARREN WADE MD INTERNAL MEDICINE, ALEXANDRIA, VA 22311
(703) 671-9530
(703) 671-0331

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101054025
VA

Other

Enumeration date
11/20/2006
Last updated
07/08/2007
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