Wallach, Bruce Harris
Wallach, Bruce Harris is an individual health care provider with primary practice located at 34-36 Progress St. Suite B-2, Edison NJ 08820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Wallach, Bruce Harris can be contacted via phone (908) 757-9696.Contact Information
Primary practice address
34-36 Progress St. Suite B-2
Edison NJ 08820
Phone: (908) 757-9696
Fax: (908) 757-9721
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 207RH0003X | New Jersey |
Profile Details
| NPI number | 1649256066 |
|---|---|
| LBN Legal business name | Wallach, Bruce Harris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 17th, 2005 |
| Last updated | May 20th, 2023 - about 3 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649256066 | NPPES |
| New Jersey | Other | 751594CTK | MEDICAREID |
| New Jersey | MEDICAID | 7534809 | MEDICAREID |
| New Jersey | Other | 1790396281 | MEDICAREID |
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