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Bruce Harris Wallach, MD
Hematology & Oncology Physician in Edison, New Jersey
NPI 1649256066

Bruce Harris Wallach is a Hematology & Oncology Physician based in East Brunswick, NJ and is specialized in Hematology & Oncology. Bruce Harris Wallach practices in Edison, NJ and has the professional credentials of MD. The NPI Number for Bruce Harris Wallach is 1649256066 and holds a License No. 207RH0003X (New Jersey).

The current practice location address for Bruce Harris Wallach is 34-36 Progress St., Edison, NJ and can be reached out via phone at 908-757-9696 and via fax at 908-757-9721.

Location: 34-36 Progress St., Edison, NJ, 08816-4096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649256066
Provider Name
Bruce Harris Wallach
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
34-36 Progress St., Edison, NJ, 08816-4096
Phone Number
908-757-9696
Fax Number
908-757-9721
Provider Enumeration Date
12/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
751594CTK 01 NJ MEDICAREID
7534809 05 NJ
1790396281 01 NJ TITAN HEALTH GROUP NPI#
institution
Provider Business Practice Location Address Details
Address
34-36 Progress St.
City
Edison
State
New Jersey
Zip
08820
Phone Number
908-757-9696
Fax Number
908-757-9721
person
Provider Business Mailing Address Details
Address
34-36 Progress St.
City
Edison
State
New Jersey
Zip
08820
Phone Number
908-757-9696
Fax Number
908-757-9721
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
207RH0003X (New Jersey)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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