Individual
DR. ADAM WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6301
(570) 271-5976
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6301
(570) 271-5976
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD441946
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025698720001
—
PA
05
—
5908115
—
NC
Enumeration date
03/21/2007
Last updated
10/06/2025
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