MR. Cory Wallace, RN, BSN
NPI #1255066411 in Somerset, New Jersey
Provider Information
- NPI Number
- 1255066411
- Entity Type
- Individual
- Name
- MR. Cory Wallace, RN, BSN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- RN, BSN
- Enumeration Date
- Jul 21, 2022
- Last Updated
- Feb 1, 2026
Practice Location
- Address
- 30 ULYSSES RD
- City
- Somerset
- State
- New Jersey
- ZIP Code
- 08873-1049
- Phone
- (973) 462-8797
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
| Registered Nurse - General Practice — General Practice |
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