Active NPIIndividual providerSole proprietor

Rebecca Wallach, DO

Family Medicine in Tewksbury, Massachusetts

NPI Number1578026316
Practice location
2345 Main St, Tewksbury, MA 01876-3125
Fax
978-694-0991
Last updated
August 1, 2023

Rebecca Wallach is a Family Medicine based in Tewksbury, MA. Rebecca Wallach practices in Tewksbury, MA and has the professional credentials of DO. The NPI Number for Rebecca Wallach is 1578026316 and holds a License No. 292633 (MA). The current practice location address for Rebecca Wallach is 2345 Main St, Tewksbury, MA 01876-3125 and can be reached out via phone at 978-658-9931 and via fax at 978-694-0991.

Provider Profile Details

NPI Number
1578026316
Provider Name
Rebecca Wallach
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2345 Main St, Tewksbury, MA 01876-3125
Phone Number
978-658-9931
Fax Number
978-694-0991
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 9, 2019
Last Update Date
August 1, 2023
Certification Date
August 1, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2345 Main St
Tewksbury, MA 01876-3125
Zip
01876-3125
Phone Number
978-658-9931
Fax Number
978-694-0991
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
2345 Main St
Tewksbury, MA 01876-3125
City
Tewksbury
State
MA
Zip
01876-3125
Phone Number
978-658-9931

License Information

License Number
292633
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Rebecca Wallach, DO?

The NPI number of Rebecca Wallach, DO is 1578026316. It was assigned on April 9, 2019 and is currently active in the NPPES registry.

What is the specialty of Rebecca Wallach, DO?

Rebecca Wallach, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 292633.

Where does Rebecca Wallach, DO practice?

The practice location is 2345 Main St, Tewksbury, MA 01876-3125. The office can be reached at 978-658-9931 (phone) or 978-694-0991 (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 1578026316 directly on the NPPES registry website.

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