Stephen Wallace (NPI# 1144255498, PAC ID# 4880623271) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY/ONCOLOGY.
| Nation Provider ID (NPI) | 1144255498 |
| PAC ID by PECOS | 4880623271 |
| Professional Enrollment ID | I20050816000185 |
| Full Name | Stephen Wallace |
| Organization Legal Name | REGIONAL CANCER CARE ASSOCIATES LLC |
| Address |
175 Madison Ave Mount Holly NJ 08060-2038 |
| Phone Number | 6097021900 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1993 |
| Primary Specialty | HEMATOLOGY/ONCOLOGY |
| Group Practice PAC ID | 5294710091 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310057 | VIRTUA MEMORIAL |
| 310022 | VIRTUA WEST JERSEY HOSPITALS |
| Address | Phone | Organization |
|---|---|---|
| 175 Madison Ave, Mount Holly, NJ 08060-2038 | 6097021900 | REGIONAL CANCER CARE ASSOCIATES LLC |
| Organization Legal Name | REGIONAL CANCER CARE ASSOCIATES LLC |
| Physicians | 115 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Po-shing Lee | Pathology | Regional Cancer Care Associates LLC | 92 2nd St, Hackensack, NJ 07601-2191 |
| Pashna N Munshi | Hematology/oncology | Regional Cancer Care Associates LLC | 3970 Reservoir Rd Nw, Washington, DC 20007-2126 |
| Rachel M Carroll | Nurse Practitioner | Regional Cancer Care Associates LLC | 75 Veronica Ave, Suite 201, Somerset, NJ 08873-5002 |
| Joseph Francis Mclaughlin | Hematology/oncology | Regional Cancer Care Associates LLC | 100 Haynes St, Fl 2, Manchester, CT 06040-4113 |
| Amita Babubhai Patel | Nurse Practitioner | Regional Cancer Care Associates LLC | J1 Brier Hill Ct, East Brunswick, NJ 08816-3340 |
| Nandini Ignatius | Hematology/oncology | Regional Cancer Care Associates LLC | 326 Professional View Dr, Freehold, NJ 07728-7904 |
| Phyllis A Tarallo | Nurse Practitioner | Regional Cancer Care Associates LLC | 4632 Hwy 9, Howell, NJ 07731-3319 |
| Ellen A Ronnen | Medical Oncology | Regional Cancer Care Associates LLC | 30 Prospect Ave, Hackensack, NJ 07601-1915 |
| Joel S Silver | Hematology/oncology | Regional Cancer Care Associates LLC | 100 Haynes St, Fl 2, Manchester, CT 06040-4113 |
| Noa Biran | Hematology/oncology | Regional Cancer Care Associates LLC | 92 2nd St, Hackensack, NJ 07601-2191 |
| Street Address |
175 MADISON AVE |
| City | MOUNT HOLLY |
| State | NJ |
| Zip | 08060-2038 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent Savarese | Endocrinology | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Kelly Anne Harchut | Physician Assistant | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Sergey Moldavskiy | Anesthesiology | Morris Anesthesia Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Andrew Ecker | Nurse Practitioner | Emergency Physician Services of New Jersey, Professional Association | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Maurice J Cairoli | Hematology/oncology | Regional Cancer Care Associates LLC | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Anita Bhamidipati | Emergency Medicine | Emergency Physician Services of New Jersey, Professional Association | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Xiaowen Zhang | Internal Medicine | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Neil M Campbell | Obstetrics/gynecology | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Michelle C Shen | General Surgery | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Megan Lynne Wolf | Physician Assistant | Virtua Medical Group, Pa | 175 Madison Ave, Mount Holly, NJ 08060-2038 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rachel L Grencavich | Certified Nurse Midwife (cnm) | Regional Womens Health Group LLC | 1626 Route 38, Mount Holly, NJ 08060 |
| Oumar Kuzbari | Obstetrics/gynecology | Regional Womens Health Group LLC | 1626 Route 38, Mount Holly, NJ 08060 |
| Robert A Skaf | Endocrinology | Regional Womens Health Group LLC | 1626 Route 38, Mount Holly, NJ 08060 |
| Gary S Packin | Endocrinology | Regional Womens Health Group LLC | 1626 Route 38, Mount Holly, NJ 08060 |
| Jesleen Lamothe | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| Karen Dougherty | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| Sejal K Patel | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| Vittoria Mello | Nurse Practitioner | Minuteclinic Diagnostic of New Jersey LLC | 508 High St, Mount Holly, NJ 08060-1052 |
| George E Achebe | Internal Medicine | 1846 Burlington Mount Holly Rd, Mount Holly, NJ 08060-1068 | |
| Scott W Mahoney | Chiropractic | 1852 Burlington Mount Holly Rd, Westampton, NJ 08060-1070 | |
| Find all physicians in zip 08060 | |||
| City | MOUNT HOLLY |
| Zip Code | 08060 |
| Specialty | HEMATOLOGY/ONCOLOGY |
| City + Specialty | MOUNT HOLLY + HEMATOLOGY/ONCOLOGY |
Please comment or provide details below to improve the information on Stephen Wallace.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.