NPI 1033595772

David Wallach

Practitioner Contractor Raleigh, NC

Practice location

Address: 3100 Cone Manor Ln, Raleigh, NC 27613-6607
Phone: (919) 272-8230

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 54270 (NC)

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Registry record

NPI: 1033595772
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Aug 2015
Record last updated: 5 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.