Wallace, Cory
Wallace, Cory is an individual health care provider with primary practice located at 1100 Wescott Dr Ste 304 , Flemington NJ 08822-4600. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / General Practice, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Wallace, Cory can be contacted via phone (908) 788-4022.Contact Information
Primary practice address
1100 Wescott Dr Ste 304
Flemington NJ 08822-4600
Phone: (908) 788-4022
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26NJ15461200 | New Jersey |
| Nursing Service Providers / General Practice | 163WG0000X | 26NR20435100 | New Jersey |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 26NJ15461200 | New Jersey |
Profile Details
| NPI number | 1255066411 |
|---|---|
| LBN Legal business name | Wallace, Cory |
| Credentials | MSN, AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2022 |
| Last updated | Sep 25th, 2026 - about 2 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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