Individual
ANDREW B WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 SAN PABLO AVE, SUITE 400, ALBANY, CA 94706-1127
(510) 204-8130
Mailing address
500 SAN PABLO AVE, ALBANY, CA 94706-1103
(510) 204-8130
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00G41883
CA
Other
Enumeration date
03/03/2006
Last updated
01/25/2018
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