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1841261591
MICHAEL WALLACH
EAST PROVIDENCE, RI
NPI
1841261591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: RI 7329)
Enumeration Date
2006-01-31
Last Update Date
2007-07-08
Business Address
-- MICHAEL WALLACH MD
20 CATAMORE BLVD
EAST PROVIDENCE, RI 02914
Phone number: 401-432-2520
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Mailing Address
-- MICHAEL WALLACH MD
20 CATAMORE BLVD
EAST PROVIDENCE, RI 02914
Phone number: 401-432-2520
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