DAVID M WALLACE

LONG BRANCH, NJ
NPI1336116656
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine
(Licence: NJ  25MA04221200)
Enumeration Date2006-03-06
Last Update Date2011-10-14
Business Address
-- DAVID M WALLACE M.D.
73 S BATH AVE
LONG BRANCH, NJ 07740-5725
Phone number: 732-870-3600
Mailing Address
-- DAVID M WALLACE M.D.
PO BOX 8000 DEPT 596
BUFFALO, NY 14267-0002
Phone number: 866-295-0041