Individual
DR. HAROLD JAMES WALLACE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE DEPT. OF RADIATION ONCOLOGY, BURLINGTON, VT 05401-1473
(802) 847-3506
(802) 847-2386
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(800) 847-0000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
042-0009975
VT
2085R0001X
Radiation Oncology Physician
308258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OVN2161
—
VT
Enumeration date
07/22/2006
Last updated
07/25/2025
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