Individual
DR. PAUL ELLIOT WALLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
130 CARNIE BLVD, SUITE 1, VOORHEES, NJ 08043-4521
(856) 424-0003
Mailing address
140 FELLSWOOD DR, MOORESTOWN, NJ 08057-4015
(856) 234-6336
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
25MB03618300
NJ
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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