Individual
REBECCA WALLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2345 MAIN ST, TEWKSBURY, MA 01876-3125
(978) 658-9931
(978) 694-0991
Mailing address
2345 MAIN ST, TEWKSBURY, MA 01876-3125
(978) 658-9931
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292633
MA
Other
Enumeration date
04/09/2019
Last updated
08/01/2023
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