Diann Wallace (NPI# 1083008148, PAC ID# 7113274473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1083008148 |
| PAC ID by PECOS | 7113274473 |
| Professional Enrollment ID | I20180718002692 |
| Full Name | Diann Wallace |
| Address |
103 Masonville Rd Mount Laurel NJ 08054-1612 |
| Phone Number | 8564946789 |
| Gender | F |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1998 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 103 Masonville Rd, Mount Laurel, NJ 08054-1612 | 8564946789 |
| Street Address |
103 MASONVILLE RD |
| City | MOUNT LAUREL |
| State | NJ |
| Zip | 08054-1612 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Testaiuti | Neurosurgery | Coastal Spine PC | 715 Fellowship Rd, Suite A, Mount Laurel, NJ 08054-1052 |
| Rosalie Marinari | Dermatology | Dermatology Associates of South Jersey, L.L.C. | 715 Fellowship Rd, Suite B, Mount Laurel, NJ 08054-1052 |
| Adrienne Lauren Rinaldi | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ashley M Roncone | Physician Assistant | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Addison Haskins | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Russell Abrams | Neurology | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Peter G Pryzbylkowski | Pain Management | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Ijeoma C Menkiti | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Kyriaki Revenidis | Nurse Practitioner | Advanced Spine and Pain LLC | 3829 Church Rd, B, Mount Laurel, NJ 08054-1105 |
| Yohan Lee | Chiropractic | 3829 Church Rd, Suite B, Mount Laurel, NJ 08054-1105 | |
| Find all physicians in zip 08054 | |||
| City | MOUNT LAUREL |
| Zip Code | 08054 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MOUNT LAUREL + CHIROPRACTIC |
Please comment or provide details below to improve the information on Diann 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.