Brian J Wallace in Princeton - Physician Assistant
Brian J Wallace - NPI 1427248350
Brian J Wallace is a Physician Assistant in Princeton, New Jersey. Brian J Wallace practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Brian J Wallace is 1427248350. The last update date is 2007-07-26.
Brian J Wallace's current location address is 325 Princeton Ave, Princeton, New Jersey. You can contact this provider via phone number 6099248131 and fax number 6099248532. The mailing address for Brian J Wallace is 325 Princeton Ave, Princeton, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian J Wallace |
|---|---|
| Address | 325 Princeton Ave, Princeton, New Jersey |
| Phone Number | 6099248131 |
| Fax Number | 6099248532 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1427248350 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2007-07-26 |
Provider Mailing Address Detail
| Address | 325 Princeton Ave |
|---|---|
| City | Princeton |
| State | New Jersey (NJ) |
| Post Code | 85401617 |
| Phone Number | 6099248131 |
| Fax Number | 6099248532 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 25MP00183300 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25MP00183300 | NJ | MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Brian J Wallace by the Centers for Medicare & Medicaid Services (CMS)?
The Brian J Wallace has been assigned the NPI (National Provider Identifier) 1427248350. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Brian J Wallace is physically located?
The Brian J Wallace is situated at the following address: 325 Princeton Ave, Princeton, NJ 85401617.
What is Brian J Wallace's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brian J Wallace is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.
On what date did the Brian J Wallace receive its 1427248350 assignment from the Centers for Medicare & Medicaid Services?
The Brian J Wallace was assigned its 1427248350 by the Centers for Medicare & Medicaid Services on 2007-07-26.
When was the information pertaining to Brian J Wallace most recently updated or revised?
The details related to Brian J Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-26.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN