Dr. Charles Seth Wade, M.D.
Internal Medicine, Cardiovascular Disease in Portsmouth, VA. Individual provider (NPI-1).
NPI number1184820003
StatusActive
Last updated in NPPESJul 8, 2021
Details
- NPI
- 1184820003
- Entity type
- Individual (NPI-1)
- Name
- Dr. Charles Seth Wade
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2007
- Certification date
- Jul 8, 2021
- Last updated
- Jul 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 0101267882 | VA | Yes |
| 207R00000X | Internal Medicine | 01066642A | IN | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Other names
- Charles Seth Eisenberg (Former Name)
Practice location
Nmcp Cardiology620 John Paul Jones Cir
Portsmouth, VA 23704
Phone 757-953-1276
Mailing address
Naval Medical Center Portsmouth620 John Paul Jones Cir
Portsmouth, VA 23704
Phone 757-953-1276
Other practice locations
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