SARA JANE WALLACE

NEW HAVEN, CT
NPI1619993334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: CT  001693)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
MRS. SARA JANE WALLACE PA
1450 CHAPEL ST
NEW HAVEN, CT 06511-4405
Phone number: 203-789-3000
Mailing Address
MRS. SARA JANE WALLACE PA
512 SCENIC RD
ORANGE, CT 06477-2127
Phone number: