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

JANIKA INEZ WALLACE, D.O.

Active

JANIKA INEZ WALLACE, D.O. is a Family Medicine healthcare provider located in NORTH EAST, Maryland. NPI 1255642930 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · NORTH EAST, MD

Registration Details

NPI Number: 1255642930
Provider Type: Individual
Gender: Female
NPI Issued: Jun 28, 2010 (15.944917286932 yrs)
Last Updated: Apr 7, 2015
Licenses: 25MB09205500 (NJ)

H0075972 (MD)

Practice Information

Address: 104 E CECIL AVE

1ST FLOOR

NORTH EAST, MD, 219014016
Browse MD providers · Browse ZIP 21901
Phone: 4102877021
Fax: 4102877067
Primary Specialty: Family Medicine
207Q00000X
Additional Specialty: Family Medicine
Additional Specialty: Family Medicine

Other Family Medicine Providers in NORTH EAST, MD

Name	Credential	NPI
MRS. MADHU S SACHDEV	M.D.	1528084712
SOFIA BERMUDEZ STEWART	MD	1467039438

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.