BRIAN J WALLACE

PRINCETON, NJ
NPI1427248350
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00183300)
Enumeration Date2007-07-26
Last Update Date2007-07-26
Business Address
-- BRIAN J WALLACE PA
325 PRINCETON AVE
PRINCETON, NJ 08540-1617
Phone number: 609-924-8131
Mailing Address
-- BRIAN J WALLACE PA
325 PRINCETON AVE
PRINCETON, NJ 08540-1617
Phone number: 609-924-8131
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