1114900362 Derrick I Wallace, M.D.
Otolaryngology Physician
Active
Basic Information
- Full Name
- Derrick I Wallace, M.D.
- Gender
- Male
- Enumeration Date
- November 22, 2005
- Last Update
- November 29, 2011
Practice Location
- Address
- 187 WASHINGTON AVE
SUITE 2I
NUTLEY, NJ 071103935 - Phone
- (973) 235-0090
- Fax
- (973) 235-0090
Mailing Address
- Address
- 187 WASHINTON AVE
SUITE 2I
NUTLEY, NJ 071101980 - Phone
- (973) 235-0090
- Fax
- (973) 842-0830
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Otolaryngology | 208988 | NY | No |
| Otolaryngology Physician | 207Y00000X | Otolaryngology | 25MA08175200 | NJ | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02237176 | 05 | NY | N/A |
Frequently Asked Questions
What is Derrick I Wallace, M.D.'s NPI number?
Derrick I Wallace, M.D.'s NPI number is 1114900362.
Which doctor has NPI number 1114900362?
The doctor with NPI number 1114900362 is Derrick I Wallace, M.D..
What is Derrick I Wallace, M.D.'s practice address?
Derrick I Wallace, M.D.'s practice address is 187 WASHINGTON AVE, SUITE 2I, NUTLEY, NJ, 071103935.
Which doctor practices at 187 WASHINGTON AVE, SUITE 2I, NUTLEY, NJ, 071103935?
Derrick I Wallace, M.D. practices at 187 WASHINGTON AVE, SUITE 2I, NUTLEY, NJ, 071103935.
What is Derrick I Wallace, M.D.'s mailing address?
Derrick I Wallace, M.D.'s mailing address is 187 WASHINTON AVE, SUITE 2I, NUTLEY, NJ, 071101980.
What is Derrick I Wallace, M.D.'s phone number?
Derrick I Wallace, M.D.'s phone number is (973) 235-0090.
Who is (973) 235-0090?
(973) 235-0090 is the phone number for Derrick I Wallace, M.D..
What is Derrick I Wallace, M.D.'s specialty?
Derrick I Wallace, M.D.'s specialty is Otolaryngology Physician.
What type of doctor is Derrick I Wallace, M.D.?
Derrick I Wallace, M.D. is a Otolaryngology Physician.
Is Derrick I Wallace, M.D. a Otolaryngology?
Yes, Derrick I Wallace, M.D. is a Otolaryngology.
Is Derrick I Wallace, M.D. still practicing?
Yes, Derrick I Wallace, M.D. is currently practicing.
Is Derrick I Wallace, M.D. accepting new patients?
Derrick I Wallace, M.D. may be accepting new patients. Please call their office at (973) 235-0090 to inquire about availability.
Is NPI 1114900362 still active?
Yes, NPI 1114900362 is currently active.
Where does Derrick I Wallace, M.D. practice?
Derrick I Wallace, M.D. practices in NUTLEY, NJ.
Is Derrick I Wallace, M.D. a male or female doctor?
Derrick I Wallace, M.D. is a male doctor.