Individual
DR. HEATHER LARKIN WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2411 W BELVEDERE AVE STE 402, BALTIMORE, MD 21215-5231
(410) 601-9627
(410) 601-9499
Mailing address
2411 W BELVEDERE AVE STE 402, BALTIMORE, MD 21215-5231
(410) 601-9627
(410) 601-9499
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
P19036
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014134800
—
MD
Enumeration date
01/10/2007
Last updated
04/04/2024
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