Search › Pennsylvania › 374U00000X
Cameron Wallace
NPI 1649047069 · on the registry since 2023 · sole proprietor
Practice
- Address
- 320 Myrtle Ave
Cheltenham, PA 19012 - Phone
- (267) 280-2619
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Also registered as
- 372500000X
376J00000X
385H00000X - Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-06
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