DR. Keri Ann Wallace, M.D.

NPI #1205807179 in Hartford, Connecticut

Provider Information

NPI Number: 1205807179
Entity Type: Individual
Name: DR. Keri Ann Wallace, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jan 30, 2006
Last Updated: Apr 12, 2023

Practice Location

Address: 282 WASHINGTON ST
Address 2: CCMC, PRIMARY CARE CENTER, 1F
City: Hartford
State: Connecticut
ZIP Code: 06106-3322
Phone: (860) 545-9333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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