Active NPIIndividual providerSole proprietor

Dr. Christopher A Wallace, MD

Pathology, Anatomic Pathology & Clinical Pathology in Farmington, Connecticut

NPI Number1164447215
Practice location
270 Farmington Avenue, Suite 332, Farmington, CT 06089
Fax
972-767-0225
Last updated
November 26, 2013

Christopher Alan Wallace is a Pathology, Anatomic Pathology & Clinical Pathology based in Farmington, CT. Christopher Alan Wallace practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Christopher Alan Wallace is 1164447215 and holds a License No. 041939 (CT). The current practice location address for Christopher Alan Wallace is 270 Farmington Avenue, Suite 332, Farmington, CT 06089 and can be reached out via phone at 888-276-2223 and via fax at 972-767-0225.

Provider Profile Details

NPI Number
1164447215
Provider Name
Christopher Alan Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
270 Farmington Avenue, Suite 332, Farmington, CT 06089
Phone Number
888-276-2223
Fax Number
972-767-0225
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2006
Last Update Date
November 26, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
270 Farmington Avenue
Suite 332
Farmington, CT 06089
Zip
06089
Phone Number
888-276-2223
Fax Number
972-767-0225
Farmington, CT 06089Get directions →

Provider Business Mailing Address Details

Address
Po Box 840294
Dallas, TX 75284-0294
City
Dallas
State
TX
Zip
75284-0294
Phone Number
888-344-1160
Fax Number
972-331-3148

License Information

License Number (1)
041939
License State (1)
CT
Taxonomy (1)
Pathology, Dermatopathology · 207ZD0900X
License Number (2)
041939
License State (2)
CT
Taxonomy (2)
Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Pathology, Anatomic Pathology & Clinical Pathology providers near Farmington, CT

View all Pathology, Anatomic Pathology & Clinical Pathology providers in Farmington →

Frequently Asked Questions

What is the NPI number of Dr. Christopher A Wallace, MD?

The NPI number of Dr. Christopher A Wallace, MD is 1164447215. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Christopher A Wallace, MD?

Dr. Christopher A Wallace, MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in CT under license number 041939.

Where does Dr. Christopher A Wallace, MD practice?

The practice location is 270 Farmington Avenue, Suite 332, Farmington, CT 06089. The office can be reached at 888-276-2223 (phone) or 972-767-0225 (fax).

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 1164447215 directly on the NPPES registry website.

Browse related providers