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1174613400
JOHN WALLACE CORNWALL
NEW YORK, NY
NPI
1174613400
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 124680)
Enumeration Date
2006-10-16
Last Update Date
2008-03-19
Business Address
Dr. JOHN WALLACE CORNWALL M.D.
55 CENTRAL PARK W # 1-DB
NEW YORK, NY 10023-6003
Phone number: 212-799-0630
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Mailing Address
Dr. JOHN WALLACE CORNWALL M.D.
55 CENTRAL PARK W # 1-DB
NEW YORK, NY 10023-6003
Phone number: 212-799-0630
Copy
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