JAMES RICHARD WALLACE

BROOKLYN, NY
NPI1699096594
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2010-06-15
Last Update Date2010-06-15
Business Address
-- JAMES RICHARD WALLACE M.D.
4802 10TH AVENUE
BROOKLYN, NY 11209
Phone number: 718-283-8397
Mailing Address
-- JAMES RICHARD WALLACE M.D.
4802 10TH AVENUE
BROOKLYN, NY 11209
Phone number: 718-283-8397