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1609012731
MATTHEW TRISTAN WALLACE
BALTIMORE, MD
NPI
1609012731
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: DC Pending)
Enumeration Date
2008-12-19
Last Update Date
2008-12-19
Business Address
Dr. MATTHEW TRISTAN WALLACE M.D.
701 KINGSTON RD
BALTIMORE, MD 21212-1939
Phone number: 410-377-7658
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Mailing Address
Dr. MATTHEW TRISTAN WALLACE M.D.
701 KINGSTON RD
BALTIMORE, MD 21212-1939
Phone number: 410-377-7658
Copy
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