Derrick I Wallace M.D.
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Overview of Derrick I Wallace M.D.
- NPI number: 1598434045
- Provider type: Individual
- Gender: Male
- Active since: 11/22/2005
- Last updated: 11/29/2011
Primary Scrop of Practice
- Taxonomy Code: 207Y00000X
- Specialty: Otolaryngology
- License Number: 25MA08175200
- License State: NJ
Provider Mailing Address
- Address: 187 Washinton AveSuite 2iNutley, NJ 07110
- Phone: 973-235-0090
- Fax: 973-842-0830
Provider Practice Location
- Address: 187 Washington AveSuite 2iNutley, NJ 07110
- Phone: 973-235-0090
- Fax: 973-235-0090
Scope of Practice
- Taxonomy Code: 207Y00000X
- Specialty: Otolaryngology
- License Number: 25MA081752
- License State: NJ
- Switch: Yes
Legacy Identifiers
- Provider Identifier: 02237176
- Identifier Type: Medicare Oscar/Certification
- Identifier State: NY
- Issuer:
Question & Answers
- Q: What is the npi number?
- A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
- Q: What are health care provider taxonomy codes?
- A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
- Q: What is the npi number for Derrick I Wallace M.D.?
- A: The npi number for Derrick I Wallace M.D. is 1114900362.
- Q: What are Derrick I Wallace M.D.'s specialties?
- A: Derrick I Wallace M.D.'s specialties are Otolaryngology and different specialities.
- Q: What is the medical license for Derrick I Wallace M.D.?
- A: The medical license number for Derrick I Wallace M.D. is 25MA08175200 and issued in NJ in USA.
- Q: Where is Derrick I Wallace M.D. practice location?
- A: Derrick I Wallace M.D. is practicing at 187 Washington Ave, Nutley, NJ 07110.
- Q: How to contact Derrick I Wallace M.D.?
- A: You can contact Derrick I Wallace M.D. via 973-235-0090.