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Individual
DR. SARA L WALLACH
Active
Individual
DR. SARA L WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05698800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6731309
—
NJ
Enumeration date
05/10/2006
Last updated
06/19/2014
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