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

David M Wallace, MD

Individual provider Maternal & Fetal Medicine Physician · NPI 1336116656

David M Wallace, MD is a Maternal & Fetal Medicine Physician in Long Branch, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

73 S Bath Ave
Long Branch, NJ 07740-5725
Phone: (732) 870-3600
Fax: (732) 870-0119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Maternal & Fetal Medicine Physician (primary) Taxonomy 207VM0101X · Licence 25MA04221200 (NJ)

Record details

NPI number1336116656
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 6, 2006
Last updated in NPPESOctober 14, 2011
Mailing addressPo Box 8000, Dept 596, Buffalo, NY 14267-0002

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