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1801842091
THERESA C WALLACE
MORRISTOWN, NJ
NPI
1801842091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ MA0616800)
Enumeration Date
2006-05-26
Last Update Date
2007-07-08
Business Address
THERESA C WALLACE M.D.
95 MADISON AVE SUITE 101
MORRISTOWN, NJ 07960
Phone number: 973-267-1010
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Mailing Address
THERESA C WALLACE M.D.
95 MADISON AVE SUITE 101
MORRISTOWN, NJ 07960
Phone number: 973-267-1010
Copy
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