Dr. Robert S Wallis, MD
Internal Medicine, Infectious Disease in Old Lyme, Connecticut
1154555738- Practice location
- 55 Saunders Hollow RD, Old Lyme, CT 06371-1127
- Phone
- 860-598-9160
- Fax
- —
- Last updated
- August 10, 2021
Robert Steven Wallis is an Internal Medicine, Infectious Disease based in Old Lyme, CT. Robert Steven Wallis practices in Old Lyme, CT and has the professional credentials of MD. The NPI Number for Robert Steven Wallis is 1154555738 and holds a License No. MD037184 (DC). The current practice location address for Robert Steven Wallis is 55 Saunders Hollow RD, Old Lyme, CT 06371-1127 and can be reached out via phone at 860-598-9160.
Provider Profile Details
- NPI Number
- 1154555738
- Provider Name
- Robert Steven Wallis
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 55 Saunders Hollow RD, Old Lyme, CT 06371-1127
- Phone Number
- 860-598-9160
- Primary Taxonomy
- Internal Medicine, Infectious Disease · 207RI0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2009
- Last Update Date
- August 10, 2021
- Certification Date
- August 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Saunders Hollow RD
Old Lyme, CT 06371-1127 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-1127
- Phone Number
- 860-598-9160
Provider Business Mailing Address Details
- Address
- 55 Saunders Hollow RD
Old Lyme, CT 06371-1127 - City
- Old Lyme
- State
- CT
- Zip
- 06371-1127
- Phone Number
- 860-598-9160
License Information
- License Number (1)
- MD037184
- License State (1)
- DC
- Taxonomy (1)
- Internal Medicine, Infectious Disease · 207RI0200X
- License Number (2)
- 25MA07059900
- License State (2)
- NJ
- Taxonomy (2)
- Internal Medicine, Infectious Disease · 207RI0200X
- License Number (3)
- 49370
- License State (3)
- CT
- Taxonomy (3)
- Internal Medicine, Infectious Disease · 207RI0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Robert S Wallis, MD?
The NPI number of Dr. Robert S Wallis, MD is 1154555738. It was assigned on May 11, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Robert S Wallis, MD?
Dr. Robert S Wallis, MD is registered under the primary taxonomy Internal Medicine, Infectious Disease (code 207RI0200X), licensed in DC under license number MD037184.
Where does Dr. Robert S Wallis, MD practice?
The practice location is 55 Saunders Hollow RD, Old Lyme, CT 06371-1127. The office can be reached at 860-598-9160 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154555738 directly on the NPPES registry website.