Individual
DR. JOSEPH J WALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 MOUNT PLEASANT AVE, SUITE G, DOVER, NJ 07801-1629
(973) 989-9000
(973) 989-8225
Mailing address
600 MOUNT PLEASANT AVE, SUITE G, DOVER, NJ 07801-1629
(973) 989-9000
(973) 989-8225
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB02488400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB02488400
STATE LICENSE
NJ
Enumeration date
06/03/2006
Last updated
01/23/2015
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