Max Lee Wallace JR. is a Diagnostic Radiology Physician based in New Britain, CT and is specialized in Diagnostic Radiology. Max Lee Wallace JR. practices in New Britain, CT and has the professional credentials of MD. The NPI Number for Max Lee Wallace JR. is 1588624282 and holds a License No. 023301 (Connecticut).
The current practice location address for Max Lee Wallace JR. is 40 Hart St, New Britain, CT and can be reached out via phone at 860-229-2059 and via fax at 860-229-8495.
Identifier | Type | State | Issuer |
---|---|---|---|
300117749 | 01 | CT | RAILROAD MEDICARE |
010023301CT13 | 01 | CT | ANTHEM BC/BS |
001233014 | 05 | CT | |
010026126CT12 | 01 | CT | ANTHEM BC/BS |
010026126CT03 | 01 | CT | ANTHEM BC/BS |
010026126CT14 | 01 | CT | ANTHEM BC/BS |
1588624282 | 05 | CT | |
010026126CT04 | 01 | CT | ANTHEM BC/BS |
010026126CT07 | 01 | CT | ANTHEM BC/BS |
300023202 | 01 | CT | RAILROAD MEDICARE |
300106345 | 01 | CT | RAILROAD MEDICARE |
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