Individual
DR. ERIC WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7187 WOODMONT AVE, BETHESDA, MD 20815-6208
(888) 663-6331
Mailing address
1 EMBARCADERO CTR STE 1900, SAN FRANCISCO, CA 94111-3723
(415) 658-6791
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
243033
MA
207Q00000X
Family Medicine Physician
Primary
D0100827
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-2297845
UNITED HEALTH CARE
—
01
—
042297845
MULTI-PLAN
MA
01
—
042297845
HCVM
—
01
—
1154434488
TMP
MA
01
—
1154434488
TUFTS HEALTH PLAN
—
05
—
1154434488
—
MA
01
—
3748610
CIGNA
MA
01
—
7087919
AETNA
MA
01
—
AA387771
HARVARD PILGRIM
MA
01
—
SS0165
BCBSMA
MA
Enumeration date
08/17/2006
Last updated
02/17/2026
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