Eric Wallace in Norwell - Family Medicine

Eric Wallace - NPI 1154434488

Eric Wallace is a Family Medicine in Norwell, Massachusetts. Eric Wallace practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Eric Wallace is 1154434488. The last update date is 2016-02-09.

Eric Wallace's current location address is 143 Longwater Dr, Norwell, Massachusetts. You can contact this provider via phone number 7818785200 and fax number 7818786750. The mailing address for Eric Wallace is 143 Longwater Dr, Norwell, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Wallace
Address 143 Longwater Dr, Norwell, Massachusetts
Phone Number 7818785200
Fax Number 7818786750
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1154434488
Provider Enumeration Date 2006-08-17
Last Updated Date 2016-02-09

Provider Mailing Address Detail

Address 143 Longwater Dr
City Norwell
State Massachusetts (MA)
Post Code 20611683
Phone Number 7818785200
Fax Number 7818786750

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 243033
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1154434488 TUFTS HEALTH PLAN
1154434488 MA --
7087919 MA AETNA
1154434488 MA TMP
04-2297845 UNITED HEALTH CARE
42297845 MA MULTI-PLAN
1154434488 MA NEIGHBORHOOD HEALTH PLAN
1154434488 FALLON HEALTH CARE
SS0165 MA BCBSMA
42297845 HCVM

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FAQs about Eric Wallace

What is the unique 10-digit identification code issued to Eric Wallace by the Centers for Medicare & Medicaid Services?

The Eric Wallace has been assigned the NPI (National Provider Identifier) 1154434488 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Eric Wallace is located?

The Eric Wallace is situated at the following address: 143 Longwater Dr, Norwell, MA, 20611683.

What is Eric Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Eric Wallace is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Eric Wallace receive its 1154434488 assignment from the Centers for Medicare & Medicaid Services?

The Eric Wallace was assigned its 1154434488 on 2006-08-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Eric Wallace last refreshed?

The information related to the Eric Wallace, including its address, specialty, and other relevant details, was last updated on 2016-02-09.

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