Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexandra C Wallace, MD

Individual provider Pediatrics Physician · NPI 1255869012

Alexandra C Wallace, MD is a Pediatrics Physician in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Massachusetts General Hospital 55 Fruit St
Boston, MA 02114
Phone: (617) 726-2000
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Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 270997 (MA)

Record details

NPI number1255869012
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2017
Last updated in NPPESMay 24, 2017

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