Individual
DR. TERENCE J. WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4755 OGLETOWN STANTON ROAD, NEWARK, DE 19718-1320
(302) 733-1000
(302) 733-2685
Mailing address
2 READS WAY, STE. 201, NEW CASTLE, DE 19720-1630
(302) 709-4709
(302) 709-4551
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
C1-0010043
DE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/09/2008
Last updated
04/25/2016
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