DAVID WALLACE

STAMFORD, CT
NPI1720646672
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  4572)
Enumeration Date2019-06-04
Last Update Date2021-09-28
Business Address
DAVID WALLACE PA-C
1 HOSPITAL PLZ
STAMFORD, CT 06902-3602
Phone number: 203-276-1000
Mailing Address
DAVID WALLACE PA-C
1 HOSPITAL PLZ
STAMFORD, CT 06902-3602
Phone number: 203-276-1000
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