Raymond C Wadlow in Fairfax - Internal Medicine

Raymond C Wadlow - NPI 1548370612

Raymond C Wadlow is a Internal Medicine in Fairfax, Virginia. Raymond C Wadlow practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Raymond C Wadlow is 1548370612. The last update date is 2022-02-28.

Raymond C Wadlow's current location address is 8081 Innovation Park Dr, Fairfax, Virginia. You can contact this provider via phone number 5714721180 and fax number 5714721197. The mailing address for Raymond C Wadlow is 8081 Innovation Park Dr, Fairfax, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Name Raymond C Wadlow
Address 8081 Innovation Park Dr, Fairfax, Virginia
Phone Number 5714721180
Fax Number 5714721197
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1548370612
Provider Enumeration Date 2006-08-30
Last Updated Date 2022-02-28

Provider Mailing Address Detail

Address 8081 Innovation Park Dr
City Fairfax
State Virginia (VA)
Post Code 22031
Phone Number 5714721180
Fax Number 5714721197

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 101248821
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1548370612 VA --

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FAQs about Raymond C Wadlow

What is the unique provider identifier assigned to Raymond C Wadlow?

The Raymond C Wadlow has been issued the NPI (National Provider Identifier) 1548370612 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Can you provide the Raymond C Wadlow's physical address?

The Raymond C Wadlow is physically located at 8081 Innovation Park Dr, in the city of Fairfax, VA, with the postal code 22031.

What is Raymond C Wadlow's specialized field of practice, and what is the corresponding taxonomy classification code?

The Raymond C Wadlow's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Raymond C Wadlow receive the assignment of its 1548370612 from the Centers for Medicare & Medicaid Services?

The Raymond C Wadlow was issued its 1548370612 by the Centers for Medicare & Medicaid Services on 2006-08-30.

When was the information regarding Raymond C Wadlow, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Raymond C Wadlow, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-02-28.

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