Individual
DR. WALLACE HARRY WELLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 W 19TH ST, SUITE 51, NEW YORK, NY 10011-3939
(212) 813-3146
(212) 813-3146
Mailing address
303 W 19TH ST, SUITE 51, NEW YORK, NY 10011-3939
(212) 813-3146
(212) 813-3146
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
160840
NY
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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