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1679650683
MARC KENNETH WALLACK
NEW YORK, NY
NPI
1679650683
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086X0206X Surgery, Surgical Oncology
(Licence: NY 185118)
Enumeration Date
2006-11-01
Last Update Date
2007-07-08
Business Address
Dr. MARC KENNETH WALLACK M.D.
1901 1ST AVE RM 12A1
NEW YORK, NY 10029-7404
Phone number: 212-423-6614
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Mailing Address
Dr. MARC KENNETH WALLACK M.D.
1901 1ST AVE RM 12A1
NEW YORK, NY 10029-7404
Phone number: 212-423-6614
Copy
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