Asha Wallace, M.D.

NPI #1578797080 in Marion, Massachusetts

Provider Information

NPI Number: 1578797080
Entity Type: Individual
Name: Asha Wallace, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: M.D.
Enumeration Date: May 12, 2009
Last Updated: May 12, 2009

Practice Location

Address: 167 CONVERSE RD
City: Marion
State: Massachusetts
ZIP Code: 02738-1720
Phone: (508) 748-9749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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