Individual provider · Type 1 NPI

Stefanie D. Wade, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1326457698 Active

Practice location

110 Francis St Ste 4B
Boston, MA 02215

Fax (617) 632-7514

Other practice locations

  • 110 Francis St Ste 4B, Boston, MA 02215-5501 · (617) 632-8658

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1326457698

Stefanie D. Wade, MD's National Provider Identifier is 1326457698, issued on Aug 12, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Aug 27, 2018.