Active NPIIndividual provider

David Wallace, PA-C

Physician Assistant, Surgical in Stamford, Connecticut

NPI Number1720646672
Practice location
1 Hospital Plz, Stamford, CT 06902-3602
Fax
—
Last updated
September 28, 2021

David Wallace is a Physician Assistant, Surgical based in Stamford, CT. David Wallace practices in Stamford, CT and has the professional credentials of PA-C. The NPI Number for David Wallace is 1720646672 and holds a License No. 4572 (CT). The current practice location address for David Wallace is 1 Hospital Plz, Stamford, CT 06902-3602 and can be reached out via phone at 203-276-1000.

Provider Profile Details

NPI Number
1720646672
Provider Name
David Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1 Hospital Plz, Stamford, CT 06902-3602
Phone Number
203-276-1000
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2019
Last Update Date
September 28, 2021
Certification Date
September 28, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Hospital Plz
Stamford, CT 06902-3602
Zip
06902-3602
Phone Number
203-276-1000
Stamford, CT 06902Get directions →

Provider Business Mailing Address Details

Address
1 Hospital Plz
Stamford, CT 06902-3602
City
Stamford
State
CT
Zip
06902-3602
Phone Number
203-276-1000

License Information

License Number
4572
License State
CT
Taxonomy
Physician Assistant, Surgical · 363AS0400X · 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 David Wallace, PA-C?

The NPI number of David Wallace, PA-C is 1720646672. It was assigned on June 4, 2019 and is currently active in the NPPES registry.

What is the specialty of David Wallace, PA-C?

David Wallace, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CT under license number 4572.

Where does David Wallace, PA-C practice?

The practice location is 1 Hospital Plz, Stamford, CT 06902-3602. The office can be reached at 203-276-1000 (phone).

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 1720646672 directly on the NPPES registry website.

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