Brian J Wallace, PA
NPI #1427248350 in Princeton, New Jersey
Provider Information
- NPI Number
- 1427248350
- Entity Type
- Individual
- Name
- Brian J Wallace, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA
- Enumeration Date
- Jul 26, 2007
- Last Updated
- Jul 26, 2007
Practice Location
- Address
- 325 PRINCETON AVE
- City
- Princeton
- State
- New Jersey
- ZIP Code
- 08540-1617
- Phone
- (609) 924-8131
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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