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Derrick I Wallace
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NPI Number Detailed Information
Provider Information:
Name: | Derrick I Wallace |
Gender: | M |
Provider License Number If Given: | 25MA08175200 |
NPI Information:
NPI: | 1114900362 |
Entity Type(Individual or Organization): | 1-ind |
Enumeration Date: | 11/22/2005 |
Last Update Date: | 11/29/2011 |
Provider Business Mailing Address:
Address: | 187 WASHINTON AVE SUITE 2INutley, NJ 07110 |
Phone Number: | 9732350090 |
Fax Number: | 9738420830 |
Provider Business Practice Location Address:
Address: | 187 WASHINGTON AVE SUITE 2INutley, NJ 07110 |
Phone Number: | 9732350090 |
Fax Number: | 9732350090 |
Provider Taxonomy:
Primary: | 207Y00000X |
Secondary (if any): | 207Y00000X |
State: | NJ |
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About Derrick I Wallace
Derrick I Wallace ( DERRICK I WALLACE ) is An Otolaryngology Physician in Nutley, NJ.
The NPI Number for Derrick I Wallace is 1114900362.
The current location address for Derrick I Wallace is 187 WASHINGTON AVE SUITE 2I Nutley, NJ 07110 and the contact number is 9732350090 and fax number is 9738420830.
The mailing address for Derrick I Wallace is 187 WASHINTON AVE SUITE 2I Nutley, NJ 07110- 9732350090 (mailing address contact number - 9732350090).
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Provider Business Location on Map
FAQs:
What is the NPI Number for Derrick I Wallace ?
Answer: The NPI Number for Derrick I Wallace is 1114900362
Where is Derrick I Wallace located?
Answer: Derrick I Wallace is located at 187 WASHINGTON AVE SUITE 2I Nutley, NJ 07110.
What is the specialty for Derrick I Wallace ?
Answer: The Specialty of Derrick I Wallace is An Otolaryngology Physician.
Are there any online reviews for Derrick I Wallace ?
Answer: Not yet!
Are there any other health care providers in Nutley, NJ?
Answer: Yes, there are given below...
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Derrick I Wallace
Otolaryngology Physician
NPI Number: 1114900362
Address: 187 WASHINGTON AVE SUITE 2I Nutley, NJ 07110 , Phone: 9732350090
Otolaryngology Physician
NPI Number: 1114900362
Address: 187 WASHINGTON AVE SUITE 2I Nutley, NJ 07110 , Phone: 9732350090
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