PROF. LEAH WALLACE, PA-C
Physician Assistant
Active
Individual
NPI: 1518233931
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 002731 (CT) |
Frequently Asked Questions
NPI 1518233931 is the National Provider Identifier for PROF. LEAH WALLACE, PA-C, a Physician Assistant provider located in Madison, CT. This NPI was enumerated on March 29, 2012.
PROF. LEAH WALLACE, PA-C practices at 1347 BOSTON POST RD, SUITE 106, Madison, CT 06443.
Quick Facts
- NPI
- 1518233931
- Type
- Individual
- Enumerated
- Mar 29, 2012
- Last Updated
- Feb 25, 2015
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