Individual
JOHN WADE CANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRA
Contact information
Practice address
64 WICKHAM RD, EAST HADDAM, CT 06423-1203
(860) 917-5863
Mailing address
64 WICKHAM RD, EAST HADDAM, CT 06423-1203
(860) 917-5863
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
294258
—
Other
Enumeration date
10/30/2018
Last updated
10/30/2018
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