NPI 1124288659

Jason M. Wade, OT

Practitioner Occupational Medicine Physician Augusta, ME

Practice location

Address: 219 Capitol St Suite 2, Augusta, ME 04330-6235
Phone: (123) 456-7890
Mailing address: 5080 Spectrum Dr Suite 1200 West, Addison, TX 75001-4648

Registered specialties

Occupational Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence OT917 (ME)

Other Preventive Medicine providers in Maine →

Registry record

NPI: 1124288659
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2008
Record last updated: 9 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.