Individual
WILLIAM R WALLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
139 MORRISTOWN RD, BERNARDSVILLE, NJ 07924-2606
(908) 221-0808
(908) 221-9024
Mailing address
139 MORRISTOWN RD, BERNARDSVILLE, NJ 07924-2606
(908) 221-0808
(908) 221-9024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1922
NJ
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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