Paul Wallace, MD

NPI 1265991335 · on the registry since 2019

Practice

Address: 528 N Main St
Providence, RI 02904
Phone: (401) 528-0123
Fax: (401) 528-0124
Organisation at this address: Codac Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 53

Additional practice sites

530 N Main St, Providence, RI

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Licence states on file: RI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-12-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island