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1720026552
ELLEN CHRISTINE WALLACE
WORCESTER, MA
NPI
1720026552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: MA 76584)
Enumeration Date
2006-06-03
Last Update Date
2023-12-08
Business Address
Dr. ELLEN CHRISTINE WALLACE M.D.
55 LAKE AVE N
WORCESTER, MA 01655-0002
Phone number: 508-334-3850
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Mailing Address
Dr. ELLEN CHRISTINE WALLACE M.D.
PO BOX 415348 TURNPIKE STATION
BOSTON, MA 02241-5348
Phone number: 800-225-8885
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