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

Dr. Ellen Christine Wallace, MD

Individual provider Diagnostic Radiology Physician · NPI 1720026552

Dr. Ellen Christine Wallace, MD is a Diagnostic Radiology Physician in Worcester, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

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

See every abbreviation used in this directory →

Practice location Address checks out

55 Lake Ave N
Worcester, MA 01655-0002
Phone: (508) 334-3850
Fax: (774) 441-8443
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 76584 (MA)

Record details

NPI number1720026552
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 3, 2006
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023

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