person
James Wallace JR., MD
Student in an Organized Health Care Education/Training Program in Boston, Massachusetts
NPI 1851710354

James Wallace JR. is a Student in an Organized Health Care Education/Training Program based in Boston, MA. James Wallace JR. practices in Boston, MA and has the professional credentials of MD. The NPI Number for James Wallace JR. is 1851710354 and holds a License No. (Massachusetts).

The current practice location address for James Wallace JR. is 110 Francis St Ste 9B, Boston, MA and can be reached out via phone at 617-632-9236.

Location: 110 Francis St Ste 9B, Boston, MA, 02215-5501
person
Provider Profile Details
NPI Number
1851710354
Provider Name
James Wallace JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
110 Francis St Ste 9B, Boston, MA, 02215-5501
Phone Number
617-632-9236
Fax Number
Provider Enumeration Date
04/11/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Francis St Ste 9B
City
State
Zip
02215-5501
Phone Number
617-632-9236
Fax Number
person
Provider Business Mailing Address Details
Address
110 Francis St Ste 9B
City
State
Zip
02215-5501
Phone Number
617-632-9236
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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