Individual
WILLIAM JACOB WALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(646) 745-6369
Mailing address
12901 BRUCE B DOWNS BLVD UNIT 715, TAMPA, FL 33612-4742
(813) 396-0075
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
337791
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
08/20/2025
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