Search › Connecticut › 103TC0700X
John Wallace, PHD
NPI 1972585156 · on the registry since 2005
Practice
- Address
- Naval Ambulatory Care Center
Route 12, Bldg 449, Attn: Professional Affairs
Groton, CT 06349 - Phone
- (860) 694-2377
- Fax
- (860) 694-2590
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
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 Connecticut