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General NPI Number Information
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NPI Number | 1265727580
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Entity Type | Individual
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Provider Name | JOHN WAH M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 77 E MAIN ST STE 215
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City | WESTMINSTER
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State | MD
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Zip | 21157-5037
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Country | US
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Telephone | 410-871-8104
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Fax |
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Provider Business Mailing Address
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Address Line | 684 POOLE RD STE A
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City | WESTMINSTER
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State | MD
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Zip | 21157-6173
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Country | US
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Telephone | 667-367-2260
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Fax | 410-848-5629
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D0077578
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License Number State | MD
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