Search › Pennsylvania › 207R00000X
Paul Wallace, M.D
NPI 1639287212 · on the registry since 2006
Practice
- Address
- 7806 Cresheim Rd
Philadelphia, PA 19118 - Phone
- (215) 930-6630
- Fax
- (866) 404-2729
- Organisation at this address
- Insight Home Physicians, Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-23
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 Pennsylvania