Individual
STEPHEN G WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 YOUNG AVE STE 200, MOORESTOWN, NJ 08057-3146
(609) 702-1900
(609) 702-8455
Mailing address
25 MAIN ST STE 601, HACKENSACK, NJ 07601-7083
(609) 702-1900
(609) 702-8455
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA079166
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0068837
—
NJ
01
—
3982071
AETNA
—
Enumeration date
07/12/2006
Last updated
10/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us