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Individual

DR. DAVID A. WADAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
34 S MAIN ST, WILKES BARRE, PA 18701-1723
(570) 822-6122
(570) 822-7809
Mailing address
34 S MAIN ST, WILKES BARRE, PA 18701-1723
(570) 822-6122
(570) 822-7809

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000017L
PA
231HA2400X
Assistive Technology Practitioner Audiologist
AT000017L
PA
231HA2500X
Assistive Technology Supplier Audiologist
AT000017L
PA
237600000X
Audiologist-Hearing Aid Fitter
AT000017L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007510830002
PA
01
102830
UNISON HEALTH CARE
PA
01
11189
GEISINGER HEALTH PLAN
PA
01
1402567
MED PLUS
PA
01
282290
BLUE CROSS BLUE SHIELD
PA
Enumeration date
06/13/2005
Last updated
02/03/2015
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