Harold James Wallace in Burlington - Radiation Oncology

Harold James Wallace - NPI 1770504888

Harold James Wallace is a Radiation Oncology in Burlington, Vermont. Harold James Wallace practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Harold James Wallace is 1770504888. The last update date is 2007-07-08.

Harold James Wallace's current location address is 111 Colchester Ave, Burlington, Vermont. You can contact this provider via phone number 8028473506 and fax number 8028472386. The mailing address for Harold James Wallace is 111 Colchester Ave, Burlington, Vermont. To know further, please read the information below!

Provider Profile Detail

Provider Name Harold James Wallace
Address 111 Colchester Ave, Burlington, Vermont
Phone Number 8028473506
Fax Number 8028472386
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1770504888
Provider Enumeration Date 2006-07-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 111 Colchester Ave
City Burlington
State Vermont (VT)
Post Code 54011473
Phone Number 8028473506
Fax Number 8028472386

Provider's Primary Taxonomy Detail

Speciality Radiation Oncology
Taxonomy 2085R0001X
Licence No 042-0009975
Definition:
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
OVN2161 VT --

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FAQs about Harold James Wallace

What is the unique 10-digit identifier code issued to Harold James Wallace by the Centers for Medicare & Medicaid Services?

The Harold James Wallace has been assigned the NPI (National Provider Identifier) 1770504888 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Harold James Wallace's physical address?

The Harold James Wallace is physically located at 111 Colchester Ave, in the city of Burlington, VT, with the postal code 54011473.

What is Harold James Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Harold James Wallace is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.

On what date was the 1770504888 assigned to Harold James Wallace?

The Harold James Wallace was issued its 1770504888 on 2006-07-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Harold James Wallace most recently updated or revised?

The information pertaining to Harold James Wallace, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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