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Dr. Diana Renee Wallace, MD
Obstetrics & Gynecology Physician in Rome, New York
NPI 1710993845

Diana Renee Wallace is a Obstetrics & Gynecology Physician based in Rome, NY. Diana Renee Wallace practices in Rome, NY and has the professional credentials of MD. The NPI Number for Diana Renee Wallace is 1710993845 and holds a License No. MD 433457 (New York).

The current practice location address for Diana Renee Wallace is 7900 Turin Road, Rome, NY and can be reached out via phone at 315-338-7284 and via fax at 315-338-7286.

Location: 7900 Turin Road, Rome, NY, 13440-7423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710993845
Provider Name
Diana Renee Wallace
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
7900 Turin Road, Rome, NY, 13440-7423
Phone Number
315-338-7284
Fax Number
315-338-7286
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2039121 01 PA HIGHMARK BLUE SHIELD
212422 01 PA JOHNS HOPKINS
118476 01 PA GEISINGER HEALTH PLAN
1572573 01 PA GATEWAY-WMG
932354 01 MD CAREFIRST MD BCBS
50077199 01 PA CAPITAL BLUE CROSS-WMG
92199182 01 PA AETNA
20076171 01 PA AMERIHEALTH MERCY-WMG
institution
Provider Business Practice Location Address Details
Address
7900 Turin Road
City
Rome
State
New York
Zip
13440-7423
Phone Number
315-338-7284
Fax Number
315-338-7286
person
Provider Business Mailing Address Details
Address
7900 Turin Road
City
Rome
State
New York
Zip
13440-7423
Phone Number
315-338-7284
Fax Number
315-338-7286
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
MD 433457 (Pennsylvania)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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