Stephen G Wallace in Hackensack - Hematology & Oncology
Stephen G Wallace - NPI 1144255498
Stephen G Wallace is a Hematology & Oncology in Hackensack, New Jersey. Stephen G Wallace practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Stephen G Wallace is 1144255498. The last update date is 2021-10-19.
Stephen G Wallace's current location address is 25 Main St Ste 601, Hackensack, New Jersey. You can contact this provider via phone number 6097021900 and fax number 6097028455. The mailing address for Stephen G Wallace is 25 Main St Ste 601, Hackensack, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen G Wallace |
|---|---|
| Address | 25 Main St Ste 601, Hackensack, New Jersey |
| Phone Number | 6097021900 |
| Fax Number | 6097028455 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1144255498 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2021-10-19 |
Provider Mailing Address Detail
| Address | 25 Main St Ste 601 |
|---|---|
| City | Hackensack |
| State | New Jersey (NJ) |
| Post Code | 76017083 |
| Phone Number | 6097021900 |
| Fax Number | 6097028455 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | MA079166 |
|
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3982071 | AETNA | ||
| 68837 | NJ | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephen G Wallace by the Centers for Medicare & Medicaid Services?
The Stephen G Wallace has been issued the NPI (National Provider Identifier) 1144255498, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stephen G Wallace's physical address?
The Stephen G Wallace is physically located at 25 Main St Ste 601, in the city of Hackensack, NJ, with the postal code 76017083.
What is the Stephen G Wallace's area of specialization and corresponding taxonomy classification?
The Stephen G Wallace's specialty field is Hematology & Oncology, and it falls under the taxonomy code 207Rh0003X, which categorizes healthcare providers based on their specialties.
When was the Stephen G Wallace's 1144255498 issued?
The Stephen G Wallace's 1144255498 was issued on 2006-07-12.
When was the information related to Stephen G Wallace most recently updated or refreshed?
The details pertaining to the Stephen G Wallace, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-19.
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