MEDICARE: TADAIE WAKAMATSU MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	C1-0000899	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396743969
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TADAIE WAKAMATSU MD

Provider Business Mailing Address
First Line	:	PO BOX 8157
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19803-8157
Country	:	US
Telephone Number	:	302-652-6032
Fax Number	:	302-652-6053

Provider Business Practice Location Address
First Line	:	701 N CLAYTON ST
Second Line	:	SUITE 601
City	:	WILMINGTON
State	:	DE
Zip	:	19805-3165
Country	:	US
Telephone Number	:	302-652-6050
Fax Number	:	302-652-6053

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	11/17/2008

Similar Medicare Providers

1447990494 — MATTHEW MONIR HANNA
Practice Location Address:

701 N CLAYTON ST
WILMINGTON, DE
19805-3165

Practice Phone: 302-575-8040
Practice Fax: 302-483-2356

1932102647 — JOSEPH C PENNINGTON III M.D.
Practice Location Address:

701 N CLAYTON ST STE 533A
WILMINGTON, DE
19805-3165

Practice Phone: 302-421-4828
Practice Fax: 302-421-6971

1295738896 — ST. FRANCIS HOSPITAL INC.
Practice Location Address:

701 N CLAYTON ST
WILMINGTON, DE
19805-3165

Practice Phone: 302-421-4100
Practice Fax:

1952308629 — GEORGE R HAYNES PHARMD
Practice Location Address:

701 N CLAYTON ST , PHARMACY
WILMINGTON, DE
19805-3165

Practice Phone: 302-421-4295
Practice Fax:

1164421574 — IMAGING GROUP OF DELAWARE, PA
Practice Location Address:

701 N CLAYTON ST
WILMINGTON, DE
19805-3165

Practice Phone: 302-888-2303
Practice Fax:

1912907510 — YONGLING BIAN M.D.
Practice Location Address:

701 N CLAYTON ST
WILMINGTON, DE
19805-3165

Practice Phone: 302-575-8092
Practice Fax:

Directions to “ TADAIE WAKAMATSU MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.