Wadlow, Raymond C

Wadlow, Raymond C is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Wadlow, Raymond C can be contacted via phone (571) 472-1180.

Contact Information

Primary practice address
8081 Innovation Park Dr Fairfax VA 22031
Phone: (571) 472-1180
Fax: (571) 472-1197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101248821 Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 0101248821 Virginia

Profile Details

NPI number 1548370612
LBN Legal business name Wadlow, Raymond C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Feb 28th, 2022 - about 4 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 1548370612 NPPES
Virginia MEDICAID 1548370612

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