Zachary S Wallace M.D.

NPI 1548580913 - Internal Medicine - 207R00000X

NPI Details
NPI 1548580913
Gender Male
Enumeration Date 06/08/2010
Last Updated 04/01/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT ST.
BOSTON MA, 02114, US
Phone (617) 726-2865
Fax
Business Location
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT ST.
BOSTON MA, 02114, US
Phone (617) 726-2865
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 253529
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According to our database, Zachary S Wallace M.D. NPI is 1548580913, taxonomy code is 207R00000X and license number is 253529, license state is located at Massachusetts. Zachary S Wallace M.D. physically located at Massachusetts General Hospital, Boston MA, 02114. NPI Number Zachary S Wallace M.D. has the Individual type.

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1548580913 NPI number is provided on an as is basis without warranty of any kind. 1548580913 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary S Wallace M.D. are for informational purposes only.