Wallace Vascular, LLC
Wallace Vascular, LLC is a Vascular Surgery Physician in Cranberry Township, Pennsylvania. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
51 Dutilh Rd Ste 100Cranberry Township, PA 16066-4148
Phone: (724) 201-2399
Fax: (724) 776-3864
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular Surgery Physician (primary) | Taxonomy 2086S0129X |
|---|
Record details
| NPI number | 1629796941 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Justin Wallace — Medical Doctor · (724) 201-2399 |
| NPI enumerated | August 22, 2022 |
| Last updated in NPPES | August 22, 2022 |
| Certification date | August 18, 2022 |
| Mailing address | 51 Dutilh Rd Ste 100, Cranberry Township, PA 16066-4148 |
Other providers in Cranberry Township
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Justin Robert Wallace, MD
51 Dutilh Rd Ste 100, Cranberry Township, PA 16066-4148 · (724) 278-3484