Organization
ADAM WALLACH,M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM G WALLACH M.D. (PHYSICAN/OWNER)
(925) 837-8848
Entity
Organization
Contact information
Practice address
400 EL CERRO BLVD., STE. 204, DANVILLE, CA 94526
(925) 837-8848
Mailing address
400 EL CERRO BLVD., STE. 204, DANVILLE, CA 94526
(925) 837-8848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G85998
CA
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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