Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JALDON WALLACE
ActiveJALDON WALLACE is a Contractor healthcare provider located in PLYMOUTH MEETING, Pennsylvania. NPI 1306674502 is currently active in the NPPES registry. Verify at CMS.
Contractor · PLYMOUTH MEETING, PA
Registration Details
- NPI Number
- 1306674502
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2024 (2.0615060460991 yrs)
- Last Updated
- Jul 22, 2024
Practice Information
- Address
-
600 W GERMANTOWN PIKE STE 400PLYMOUTH MEETING, PA, 194621046Browse PA providers · Browse ZIP 19462
- Phone
- 2153161776
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in PLYMOUTH MEETING, PA
| Name | Credential | NPI |
|---|---|---|
| MR. FRANK DOMENICK SPINELLI | PTA | 1679791719 |
| MS. JILL SHARI WEINBERG | MS OTR/L | 1942487426 |
| ASHLEY CLINKSCALE | — | 1235588559 |
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.