Individual
DR. MARK WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 HOBART ST, PERTH AMBOY, NJ 08861-3396
(732) 376-9333
Mailing address
PO BOX 1220, PERTH AMBOY, NJ 08862-1220
(732) 376-6635
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA05926800
NJ
Other
Enumeration date
08/29/2011
Last updated
09/11/2013
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