Ira B Wallace is a Specialist in Bala Cynwyd, Pennsylvania. Ira B Wallace practices all healthcare services and medical treatments related to Specialist. The NPI Number for Ira B Wallace is 1316993124. The last update date is 2010-11-23.
Ira B Wallace's current location address is 2 Bala Plaza, Bala Cynwyd, Pennsylvania. You can contact this provider via phone number 6106682777 and fax number 6106681509. The mailing address for Ira B Wallace is 2 Bala Plaza, Bala Cynwyd, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ira B Wallace |
|---|---|
| Address | 2 Bala Plaza, Bala Cynwyd, Pennsylvania |
| Phone Number | 6106682777 |
| Fax Number | 6106681509 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1316993124 |
|---|---|
| Provider Enumeration Date | 2006-05-25 |
| Last Updated Date | 2010-11-23 |
Provider Mailing Address Detail
| Address | 2 Bala Plaza |
|---|---|
| City | Bala Cynwyd |
| State | Pennsylvania (PA) |
| Post Code | 190041501 |
| Phone Number | 6106682777 |
| Fax Number | 6106681509 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD032125E |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique identifier code issued to Ira B Wallace by the Centers for Medicare & Medicaid Services?
The Ira B Wallace has been assigned the NPI (National Provider Identifier) 1316993124. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Ira B Wallace's facilities are geographically located?
The facilities of Ira B Wallace are physically situated at the following location: 2 Bala Plaza, Bala Cynwyd, PA, 190041501.
What is Ira B Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ira B Wallace is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Ira B Wallace receive the assignment of its 1316993124 from the Centers for Medicare & Medicaid Services?
The Ira B Wallace was issued its 1316993124 by the Centers for Medicare & Medicaid Services on 2006-05-25.
As of what date were the details related to Ira B Wallace most recently updated or revised?
The information pertaining to Ira B Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2010-11-23.
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