WALLACE VASCULAR, LLC.
NPI 1629796941
Surgery - Vascular Surgery in Cranberry Township, PA
- Organization
- Surgery
- Vascular Surgery
About WALLACE VASCULAR, LLC.
This page provides the complete NPI Profile along with additional information for Wallace Vascular, Llc., a provider established in Cranberry Township, Pennsylvania operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1629796941 assigned on August 2022. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Justin Robert Wallace Md (Medical Doctor)
- NPI
- 1629796941 Verify this NPI
- Provider Name
- WALLACE VASCULAR, LLC.
- Entity Type
- Organization
- Location Address
- 51 DUTILH RD STE 100 CRANBERRY TOWNSHIP, PA 16066
- Location Phone
- (724) 201-2399
- Location Fax
- (724) 776-3864
- Mailing Address
- 51 DUTILH RD STE 100 CRANBERRY TOWNSHIP, PA 16066
- Mailing Phone
- (724) 201-2399
- Mailing Fax
- (724) 776-3864
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-22-2022
- Last Update Date
- 08-22-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
CRANBERRY TOWNSHIP, PA 16066
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629796941, enumerated as an "organization" on August 22, 2022.
The provider is located at 51 DUTILH RD STE 100 CRANBERRY TOWNSHIP, PA 16066 and the phone number is (724) 201-2399.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.