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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHEN G WALLACE, MD

Active

STEPHEN G WALLACE, MD is a Hematology healthcare provider located in MOORESTOWN, New Jersey. NPI 1144255498 is currently active in the NPPES registry. Verify at CMS.

Hematology · MOORESTOWN, NJ

Registration Details

NPI Number
1144255498
Provider Type
Individual
Gender
Male
NPI Issued
Jul 12, 2006 (20.105597758942 yrs)
Last Updated
Oct 19, 2021
License
MA079166 (NJ)

Practice Information

Address
350 YOUNG AVE STE 200
MOORESTOWN, NJ, 080573146
Browse NJ providers · Browse ZIP 08057
Phone
6097021900
Fax
6097028455
Primary Specialty
Hematology
207RH0003X

Other Hematology Providers in MOORESTOWN, NJ

Name Credential NPI
SETH H BERK MD 1326073677
ROSALIND M. BERKOWITZ M.D. 1720259237
STEPHEN G VASSO M.D. 1992057384
FARAH ASHRAF DO 1457858029
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.