Individual
MR. CORY WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGPCNP-BC
Contact information
Practice address
27 CLYDE RD STE 102, SOMERSET, NJ 08873-5039
(732) 246-0057
Mailing address
30 ULYSSES RD, SOMERSET, NJ 08873-1049
(973) 462-8797
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
26NR20435100
NJ
363L00000X
Nurse Practitioner
Primary
26NJ15461200
NJ
Other
Enumeration date
07/21/2022
Last updated
03/09/2026
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