Wallach, Carl B
Wallach, Carl B is an individual health care provider with primary practice located at 101 Madison Ave , Morristown NJ 07960-7357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Wallach, Carl B can be contacted via phone (973) 455-0404.Contact Information
Primary practice address
101 Madison Ave
Morristown NJ 07960-7357
Phone: (973) 455-0404
Fax: (973) 540-8788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MA05476300 | New Jersey |
Profile Details
| NPI number | 1962593947 |
|---|---|
| LBN Legal business name | Wallach, Carl B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 8th, 2014 - about 12 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 | 1962593947 | NPPES |
| New Jersey | MEDICAID | 0760901 |
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