Search › New Jersey › 207RH0002X
Simon Wallace, MD
NPI 1437685914 · on the registry since 2017
Practice
- Address
- 536 Lippincott Dr
Marlton, NJ 08053 - Phone
- (856) 355-7155
- Fax
- (856) 325-4798
- Clinicians at this address
- 7
Additional practice sites
- 3900 Woodland Ave, Philadelphia, PA
- 1 Brace Rd Ste C5, Cherry Hill, NJ
Registry record
- Primary taxonomy
- 207RH0002X
207RH0002X
- Also registered as
- 208100000X
208100000X
207RH0002X
208100000X - Licence states on file
- NJ, WI, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-16
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 New Jersey