Christopher A Wallace (NPI# 1164447215, PAC ID# 9537181409) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1164447215 |
| PAC ID by PECOS | 9537181409 |
| Professional Enrollment ID | I20120425000246 |
| Full Name | Christopher A Wallace |
| Organization Legal Name | CUTANEOUS PATHOLOGY ASSOCIATES LLC |
| Address |
6 Forest Park Dr Farmington CT 06032-1480 |
| Phone Number | 8604045066 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1997 |
| Primary Specialty | PATHOLOGY |
| Secondary Specialties | DERMATOLOGY |
| Group Practice PAC ID | 1658698592 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6 Forest Park Dr, Farmington, CT 06032-1480 | 8604045066 | CUTANEOUS PATHOLOGY ASSOCIATES LLC |
| Organization Legal Name | CUTANEOUS PATHOLOGY ASSOCIATES LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane M Hoss | Dermatology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
| Street Address |
6 FOREST PARK DR |
| City | FARMINGTON |
| State | CT |
| Zip | 06032-1480 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diane M Hoss | Dermatology | Cutaneous Pathology Associates LLC | 6 Forest Park Dr, Farmington, CT 06032-1480 |
| Sandra R Summer | Clinical Social Worker | 6 Forest Park Dr, Suite 2, Farmington, CT 06032-1467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter G Walden | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
| Paul R Mitchell | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Farmington, CT 06032 |
| Majida Gaffar | Ophthalmology | Children's Eye Care, P.C. | 366 Colt Hwy, Route 6, Farmington, CT 06032 |
| Mary Ellen Campbell | Registered Dietitian Or Nutrition Professional | 5 Eastview Dr, Farmington, CT 06032-1231 | |
| Carrie L Lukens | Clinical Psychologist | Hartford Hospital | 20 Devonwood Dr, Farmington, CT 06032-1417 |
| Kurt Fuchs | Clinical Social Worker | 2 Forest Park Dr, Farmington, CT 06032-1445 | |
| Gerard M Nolan | Ophthalmology | 1 Forest Park Dr, Farmington, CT 06032-1487 | |
| Thomas G Jones | Internal Medicine | 1027 Farmington Ave, Farmington, CT 06032-1511 | |
| Judith Leichtberg | Clinical Social Worker | Cadtc Partners LLP | 1031 Farmington Ave, Farmington, CT 06032-1511 |
| Jose R Santos | Psychiatry | Cadtc Partners LLP | 1031 Farmington Ave, Farmington, CT 06032-1511 |
| Find all physicians in zip 06032 | |||
| City | FARMINGTON |
| Zip Code | 06032 |
| Specialty | PATHOLOGY |
| City + Specialty | FARMINGTON + PATHOLOGY |
Please comment or provide details below to improve the information on Christopher A 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.