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Jacqueline M Wallace, PHYSICIAN
Obstetrics & Gynecology Physician in Columbia, Maryland
NPI 1912945155

Jacqueline M Wallace is a Obstetrics & Gynecology Physician based in Columbia, MD. Jacqueline M Wallace practices in Columbia, MD and has the professional credentials of PHYSICIAN. The NPI Number for Jacqueline M Wallace is 1912945155 and holds a License No. MD059921L (Maryland).

The current practice location address for Jacqueline M Wallace is 10910 Little Patuxent Pkwy, Columbia, MD and can be reached out via phone at 410-997-8444.

Location: 10910 Little Patuxent Pkwy, Columbia, MD, 21044-3078
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912945155
Provider Name
Jacqueline M Wallace
Credential
PHYSICIAN
Provider Entity Type
Individual
Gender
Female
Address
10910 Little Patuxent Pkwy, Columbia, MD, 21044-3078
Phone Number
410-997-8444
Fax Number
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101044156 05 PA
institution
Provider Business Practice Location Address Details
Address
10910 Little Patuxent Pkwy
City
Columbia
State
Maryland
Zip
21044-3078
Phone Number
410-997-8444
Fax Number
person
Provider Business Mailing Address Details
Address
10910 Little Patuxent Pkwy
City
Columbia
State
Maryland
Zip
21044-3078
Phone Number
410-997-8444
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
MD059921L (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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