Wadge, Gordon Frederick

Wadge, Gordon Frederick is an individual health care provider with primary practice located at 120 Ochsner Blvd Ste 460 , Gretna LA 70056-5282. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wadge, Gordon Frederick can be contacted via phone (504) 371-9355.

Contact Information

Primary practice address
120 Ochsner Blvd Ste 460 Gretna LA 70056-5282
Phone: (504) 371-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.208087 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD.208087 Louisiana

Profile Details

NPI number 1043585326
LBN Legal business name Wadge, Gordon Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2012
Last updated Jul 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043585326 NPPES
Louisiana MEDICAID 2196537
Louisiana MEDICAID 06588588

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