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1144255498
STEPHEN G WALLACE
MOORESTOWN, NJ
NPI
1144255498
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: NJ MA079166)
Enumeration Date
2006-07-12
Last Update Date
2021-10-19
Business Address
STEPHEN G WALLACE MD
350 YOUNG AVE STE 200
MOORESTOWN, NJ 08057-3146
Phone number: 609-702-1900
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Mailing Address
STEPHEN G WALLACE MD
25 MAIN ST STE 601
HACKENSACK, NJ 07601-7083
Phone number: 609-702-1900
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