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Individual

DR. HEITHAM WADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6711 TOWPATH RD, #175, EAST SYRACUSE, NY 13057-9212
(315) 458-2211
(315) 452-9025
Mailing address
6711 TOWPATH RD, #175, EAST SYRACUSE, NY 13057-9212
(315) 458-2211
(315) 452-9025

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
329224
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07989137
NY
Enumeration date
03/28/2018
Last updated
12/17/2024
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